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Réduire le risque potentiel de fuite de stomie 

Poches de stomie convexes – une solution pour vos patients ?

Des complications liées à la stomie peuvent survenir dans le mois suivant l’intervention, mais aussi à un stade ultérieur. [1] Certains facteurs peuvent contribuer à la mise en place de la stomie, à ses caractéristiques, à la formation de fistules ou à l’écoulement élevé. [1] Lorsque l’un de ces obstacles se présente, les effluents peuvent irriter la peau péristomiale et même s’infiltrer sous la plaque de stomie. [2] Par conséquent, l’adhérence du dispositif peut être compromise et la zone environnante peut également être irritée. [3]

Macro plaquette convexe Flexima Active O' avec lignes vertes soulignant la convexité douce

Si votre patient souffre de fuites de stomie, un appareillage de stomie convexe peut résoudre le problème. Vous pouvez déterminer s’il convient en évaluant le type de stomie et les contours abdominaux du patient.

Quand recommander un appareillage de stomie convexe ?
Homme portant une poche de stomie sur le haut du corps nu avec une infirmière masculine portant des gants lui indiquant comment appliquer la poche
Convexité légèrement inclinée
Illustration de la section convexe d’une plaquette avec description
Illustration d’une poche de stomie convexe placée autour d’une stomie
La main presse la plaquette d’une poche de stomie souple convexe pour démontrer sa flexibilité

Découvrez les dernières générations poches de stomie souples convexes : Softima® Active O' convexe

portrait de femme avec lunettes

“J’ai obtenu d’excellents résultats avec Softima® Active O 'convexe chez des patients présentant un environnement péristomial « irrégulier ». Le convexe souple est « assez souple » et a la « pression nécessaire » pour ce type de peau. Vous savez que les abdomens et les stomies ne sont généralement pas parfaits, comme le montre la littérature. Mais nos patients ont besoin d’aide pour vivre normalement. Et une solution pour moi est maintenant Softima® Active O' convexe.”

Responsable Zuzana Šilhánková, infirmière stomathérapeute, République tchèque
portrait d’une femme souriante

“J’adore Softima Active Convex Uro. Cela me donne la possibilité d’utiliser un appareillage convexe souple (et une ceinture) sur certaines stomies postopératoires friables où je peux hésiter à utiliser un appareillage convexe « normal ». J’ai vu d’excellents résultats en l’utilisant récemment chez des patients pour lesquels je craignais la pression autour de la jonction mucocutanée. Je trouve que la convexité est douce mais stable et c’est ce qui fait la différence !”

Kayleigh Brownlee-Moore – Royaume-Uni
Vue latérale de la plaquette convexe Flexima Active O' de 6 mm de profondeur

Flexima Active O' convex Colostomy Bags

Flexima® Active O' convex bags are designed to adapt to the body contours of people with a flush or slightly retracted stoma. The wafer of Flexima® Active O' convex is flexible and has a gentle slope for an even pressure distribution and great skin tolerance. Its comformability is designed to ensure a good seal around the stoma while providing a high level of comfort and a feeling of security.The closed bag is available in midi beige split cover cut-to-fit. Its ergonomic shape is designed to provide optimal comfort for people with a colostomy.

Flexima® Active O' convex Drainable Bags

Flexima® Active O' convex bags are designed to adapt to the body contours of people with a flush or slightly retracted stoma. The wafer of Flexima® Active O' convex is flexible and has a gentle slope for an even pressure distribution and great skin tolerance. Its conformability is designed to ensure a good seal around the stoma while providing a high level of comfort and a feeling of security.The drainable bags with an integrated Roll'up clamp are available in midi and maxi, beige or transparent and in a cut-to-fit option. They can be used by both ileostomates and colostomates because of their large openings.

Flexima® Active O' convex Urostomy Bags

Flexima® Active O' convex bags are designed to adapt to the body contours of people with a flush or slightly retracted stoma. The wafer of Flexima® Active O' convex is flexible and has a gentle slope for an even pressure distribution and great skin tolerance. Its conformability is designed to ensure a good seal around the stoma while providing a high level of comfort and a feeling of security.The urostomy bags are available in midi beige split cover and transparent and in cut-to-fit and pre-cut options. The bags are designed with an anti-reflux valve to avoid urine backflow. They are easy to handle and secure thanks to the B. Braun tap with 'open' and 'closed' positions.

Flexima Active O' convex High-Flow Bags

Flexima® Active O' convex bags are designed to adapt to the body contours of people with a flush or slightly retracted stoma. The wafer of Flexima® Active O' convex is flexible and has a gentle slope for an even pressure distribution and great skin tolerance. Its comformability is designed to ensure a good seal around the stoma while providing a high level of comfort and a feeling of security.The high-flow bag is designed to collect a large quantity of body effluents for people with a high output stoma condition. Its large run-off outlet allows for an easy evacuation of liquid stools and debris. It can be directly connected to the Flow Collector and is easy to use.It is available in beige with split cover for a 920 ml volume in cut-to-fit.

Vue latérale de la plaquette convexe Flexima Active O' de 4 mm de profondeur
Vue latérale de la plaquette convexe Flexima 3S de 6 mm de profondeur

Flexima® 3S Convex Wafers

Flexima® 3S is a 2-piece range with a guided mechanical coupling system for an easy positioning of the stoma bag onto the wafer. Flexima® 3S convex wafers are designed for flush or slightly retracted stomas to be used with the Flexima® 3S closed, drainable or urostomy bags. Full skin protector layerGentle convexity of  6 mm, designed to provide a sufficient level of pressure, evenly spread out on the peristomal areaMechanical flexible coupling ring with guiding system allowing three different bag positionsSlots for belt fixation, three different positions availableAvailable in: Ø45 mm: cut-to-fit Ø15-26 mm and pre-cut Ø25 mmØ55 mm: cut-to-fit Ø15-36 mm and pre-cut Ø30 mmØ65 mm: cut-to-fit Ø15-46 mm  Boxes of 5 wafers

Flexima® 3S Colostomy Bags

Flexima® 3S is a 2-piece range with a guided mechanical coupling system for an easy positioning of the stoma bag onto the wafer. Its ergonomically shaped colostomy bags are available in two different sizes, midi and maxi. Colors and capacity (volume as per ISO 8670-2): Midi: Ø45 mm: capacity of +/- 520 ml, beige Ø55 mm: capacity of +/- 500 ml, beigeØ65 mm: capacity of +/- 465 ml, beige  Maxi: Ø45 mm: capacity of +/- 665 ml, beige and transparentØ55 mm: capacity of +/- 655 ml, beige and transparentØ65 mm: capacity of +/- 630 ml, beige and transparentØ80 mm: capacity of +/- 510 ml, beige and transparent Box of 30 bags High performance protected filter (HP): Improved deodorization capacity through its high-tech breathable membraneLeak-proof and permeable to gases Material: Soft non-woven and odor-proof plastic filmFree of latex (PVC) and phthalates (DEHP)

Flexima® 3S Drainable Bags

Flexima® 3S is a 2-piece range with a guided mechanical coupling system for an easy positioning of the stoma bag onto the wafer. Its ergonomically shaped drainable bags have an integrated Roll'up soft clamp. They are available in two different sizes, midi and maxi.   Intuitive and secure closing system: Outlet with integrated self-gripping soft clamp7 cm wide outlet openingThe edges are softened to increase the wearing comfort once the Roll'up outlet is closedOnce folded and closed, the drainable bag has a shape as compact as of a colostomy bag.   High performance protected filter (HP): Improved deodorization capacity through its high-tech breathable membraneLeak-proof and permeable to gases   Colors and capacity (volume as per ISO 8670-2): Midi: Ø45 mm: capacity of +/- 650 ml, beige and transparentØ55 mm: capacity of +/- 635 ml, beige and transparentØ65 mm: capacity of +/- 615 ml, beige and transparent Maxi: Ø45 mm: capacity of +/- 805 ml, beige and transparentØ55 mm: capacity of +/- 785 ml, beige and transparentØ65 mm: capacity of +/- 755 ml, beige and transparentØ80 mm: capacity of +/- 715 ml, beige and transparent Box of 30 bags   Material: Soft non-woven and odor-proof plastic filmFree of latex (PVC) and phthalates (DEHP)

Flexima® 3S High Flow Bags

Flexima® 3S is a 2-piece range with a guided mechanical coupling system for an easy positioning of the stoma bag onto the wafer. The Flexima® 3S High Flow bags are designed to collect a large quantity of body effluents.    Compact bag shape with large outlet: Ergonomic and optimized bag design for large capacity with funnel-shaped lower part14 mm large outletCan be connected to the Flow Collector, a distal collecting bag To be used with the Flexima® 3S wafer corresponding to the chosen diameter of the bagBox of 30 high-flow drainable bags   Colors and capacity (volume as per ISO 8670-2): In addition to the transparent bags we are offering also beige split cover bags (with inspection window) that combine both the discretion of a beige stoma bag and the visual control to check easily stoma or stool aspect and quantity. Ø55 mm: capacity of +/- 970 ml, beige with inspection window and transparentØ65 mm: capacity of +/- 940 ml, beige with inspection window and transparentØ80 mm: capacity of +/- 900 ml, beige beige with inspection window and transparent   High performance protected filter (HP): Improved deodorization capacity through its high-tech breathable membraneLeak-proof and permeable to gases   Material: Soft non-woven and odor-proof plastic filmFree of latex (PVC) and phthalates (DEHP)  

Flexima® 3S Urostomy Bags

Two-piece mechanical urostomy bags for urine collection for any person having undergone a derivation of the urinary flow. The bags have to be used with the corresponding Flexima® 3S wafers.Flexima® 3S is a 2-piece range with a guided mechanical coupling system for an easy positioning of the stoma bag onto the wafer. The Flexima® 3S urostomy bags urostomy bags offer an anti-reflux valve to avoid urine backflow and an easy to handle and secure B. Braun drainage tap with 'open' and 'close' positions.Secure outlet:Uro-specific outlet with open/closed positionFits in perfectly and is strengthened by a click and a final locking systemEasy to handle and secure: no residual drops on fingersCan be connected to a night drainage bag by using the universal connector provided in the box (click at connection)The universal connector has an anti-twist designColors and capacity (volume as per ISO 8670-2):Ø45 mm: capacity of +/- 675 ml, beige with inspection window and transparentØ55 mm: capacity of +/- 635 ml, bbeige with inspection window and transparentØ65 mm: capacity of +/- 620 ml, beige with inspection window and transparentMaterial and packaging:Soft non-woven and odor-proof plastic filmFree of latex (PVC) and phthalates (DEHP)To be used with the Flexima® 3S wafer corresponding to the chosen diameter of the bagBox of 30 urostomy bags and 30 universal connectors

Vue latérale de la plaquette convexe Flexima Key de 4 mm de profondeur
Pour la Suisse il y a actuellement que les produits Ally® Adhesive Remover Spray et Ally® Belt à disposition.

Référencé :

 
  1. Malik T, Lee MJ, Harikrishnan AB. The incidence of stoma related morbidity - a systematic review of randomised controlled trials. Ann R Coll Surg Engl. 2018 Sep;100(7):501-508. doi: 10.1308/rcsann.2018.0126. Epub 2018 Aug 16. PMID: 30112948; PMCID: PMC6214073.
  2. Evans M, White P. Selecting convexity to improve and maintain peristomal skin integrity. Br J Nurs. 2020 Sep 10;29(16):S8-S14. doi: 10.12968/bjon.2020.29.16.S8. PMID: 32901550
  3. Andersen NK, Trøjgaard P, Herschend NO, Størling ZM. Automated Assessment of Peristomal Skin Discoloration and Leakage Area Using Artificial Intelligence. Front Artif Intell. 2020 Sep 10;3:72. doi: 10.3389/frai.2020.00072. PMID: 33733189; PMCID: PMC7861335
  4. Rolls N, Yssing C, Bøgelund M, Håkan-Bloch J, de Fries Jensen L. Utilities associated with stoma-related complications: peristomal skin complications and leakages. J Med Econ. 2022 Jan-Dec;25(1):1005-1014. doi: 10.1080/13696998.2022.2101776. PMID: 35833520.
  5. Nafees B, Størling ZM, Hindsberger C, Lloyd A. The ostomy leak impact tool: development and validation of a new patient-reported tool to measure the burden of leakage in ostomy device users. Health Qual Life Outcomes. 2018 Dec 14;16(1):231. doi: 10.1186/s12955-018-1054-0. PMID: 30547808; PMCID: PMC6295083.
  6. Cronin E. A guide to the appropriate use of convex stoma care products. Gastrointestinal Nursing 2013; Vol. 6, No. 2. DOI: 10.12968/gasn.2008.6.2.28803. ISSN: 14795248
  7. Perrin A. Convex stoma appliances: an audit of stoma care nurses. Br J Nurs. 2016 Dec 8;25(22):S10-S15. doi: 10.12968/bjon.2016.25.22.S10. PMID: 27935354.
  8. Hoeflok J, Salvadalena G, Pridham S, Droste W, McNichol L, Gray M. Use of Convexity in Ostomy Care: Results of an International Consensus Meeting. J Wound Ostomy Continence Nurs. 2017 Jan/Feb;44(1):55-62. doi: 10.1097/WON.0000000000000291. PMID: 28002174; PMCID: PMC5266410.
  9. Turnbull GB. 2003. The Ostomy Files: The Convexity Controversy. https://www.hmpgloballearningnetwork.com/site/wmp/content/the-convexity-controversy. Accessed November 1, 2022.
  10. Hoeflok J, Kittscha J, Purnell P. Use of convexity in pouching: a comprehensive review. J Wound Ostomy Continence Nurs. 2013 Sep-Oct;40(5):506-12. doi: 10.1097/WON.0b013e3182a219b7. PMID: 24448619.
  11. Richbourg L, Thorpe JM, Rapp CG. Difficulties experienced by the ostomate after hospital discharge. J Wound Ostomy Continence Nurs. 2007 Jan-Feb;34(1):70-9. doi: 10.1097/00152192-200701000-00011. PMID: 17228210.

* except for Proxima® 2+, which has one hooking position for the belt