Cut-to-fit systems are good for those who need to have a customizable sort of size and shape to the stoma, especially if it’s not regular. Using this type of system however, does require a bit of help from an ostomy nurse or someone who knows how to cut these to fit the person, especially when the ostomate has physical impairments as well, and this of course, offers multiple benefits, including that it helps with those self-care routines and such. Those who live with ostomates will want to help give them care and ways to sustain proper health and quality of life. The provision of specialized care doe begin preoperatively and will continue throughout the postoperative and the rehabilitative period throughout the lifetime of those with the ostomy. Those who have stoma appliance and sizing issues and of course skin conditions and modifications may want to consider this type of cut-to-fit systems. Now, those who don’t have circular stomas, who have oval stomas, or have stomas that like to shrink will definitely benefit from these systems. Now, if there is a rounded and protruding stoma, or a stoma prolapse, you may also need a cut-to-fit system since it’s hard to maintain appliances in that case. A lot of times, after the first two months they can determine whether you need the cut-to-fit system or not. If there is a healed stoma that might have scarring tissue that distorts the shape, you may also need a cut-to-fit system. The contours of the abdomen might also affect the process. Of course, with time, once the healing process is finished, the stoma may then finally have a final size, and you still might need a custom system, and you might have to cut these to prevent skin irritation and leakage. The patient also needs to measure the size of the stoma once a week to report to the nurse any different changes.
So how do you cut these? Well, you want either scissors or a flange cutter, which gives you better results and are more accurate. Place the flange directly on some surface so you have the best opening. You should determine the size of the opening based on the measurements and then cut it about 3-4 mm larger so that there isn’t any trauma during removal. Now, you want to prepare the skin before you place the flange there and make sure that it’s properly cleaned, and you don’t’ have any excess paste or removers there. From there, you simply put it on there, and you make sure that it does have the correct sizing and such. There are also the pre-cut pouches which can be used in a lot of cases right after surgery, so that you can have an easier experience when it comes to collecting discharge, prevents the peristomal skin from damage, stops irritation and inflammation, and also prevents the bad odors as well. So what are the advantages of this? well, it’s adjusted directly to fit the shape and size of your stoma, and it doesn’t require any skilled professional to cut this, and finally, there is less risk of discharge accumulation behind this flange. So what are the disadvantages? Well, those with dexterity problems might struggle with this. there is also increased changes of poor placement of the flange and of course the risk of leakage and irritated skin, difficulties performing the procedure when you’re in public, and it can interfere with the social life. This can be good for those who specifically need it and might be something to consider with your doctor as well.
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