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Moats, Dips and Creases Around Your Stoma

Dips, creases and moats in the skin surrounding your stoma are relatively common. These may be problematic as faeces or urine can leak into them. Dips and creases can be the result of the patient losing or gaining weight, contributing to a change in shape or contours of the abdomen.

Accessories can include pastes or washers and they can be used to fill any dips and creases, creating an even skin surface prior to applying the pouch. Alternatively,
Welland Curvex® offers the patient a flange which is capable of moulding itself to such irregularities for a secure, leak-free fit.


                   Picture 1                                       Picture 2


                   Picture 3                                      Picture 4



Picture 1. shows a colostomy, due to weight gain the stoma now sits in a crease. The patient now uses a Curvex® pouch as the soft flexible flange moulds in to the skin crease.

Picture 2. Siting was not performed prior to surgery. The stoma was situated in a natural skin crease causing leakage problems.
A
Curvex® pouch was used as the soft flexible flange moulds in to the skin crease.

Picture 3. shows a slight moat around the bottom of the stoma. There is also the problem of a surgical incision line to the side of the stoma.  The patient now wears
Curvex®.

Picture 4. shows a slight retraction of the stoma and multiple skin creases around the peristomal area. The skin creases are due to extensive post-operative scaring.


What is a peristomal moat?
A moat around a stoma can occur at any time following stoma surgery. It appears like a hollow that can be either all the way round the stoma or just partially round it.

The moat is usually filled in by using washers, pastes or products such as Curvex® which works by filling any recesses or moats.
Click here to find out more information on Curvex®.


What is a peristomal skin crease?
A peristomal crease is where a stoma is situated in a skin crease (an overhang of skin) on the abdomen. Pre-operatively the stoma care specialist will talk to you about siting your stoma. This will ensure where possible the stoma is sited in an optimum position for you. Following surgery it is not uncommon for people to gain weight (or lose weight). This can result in an overhang of skin on the abdomen. If the stoma is situated in a skin crease, the pouch may not be able to work properly as it can not get a tight seal around the stoma.

Sometimes, it is not possible to site the stoma as the surgery has been completed in the night due to an emergency situation. This sometimes results in the stoma being situated in a skin crease when the person sits or stands up.

There are many things that can be used to help with the adhesion of the pouch.
Click here to find out more information on Curvex® and HydroFrame®.

What is a skin dip?
Following surgery the skin can become stretched because of the swelling from the stoma formation. This may distort the shape of the skin. Post-operative infection, stitches that have been pulled too tight during surgery or just the way your skin heals may all affect the way your skin reacts and heals. Skin dips are where there are changing contours in your skin. It can be a single dip or multiple dips all the way around your stoma. This can cause problems as faecal waste or urine can sit in the skin dip making the skin very sore. It may also make your pouch leak.

The skin dips are usually filled in by using Hyperseal® washers or pastes or products such as Curvex® which works by filling any recesses, dips or moats.

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