Encerrou sessão com sucesso.

Reduzir o potencial risco de fugas em ostomia 

Sacos de ostomia convexos - uma solução para os seus utentes?

As complicações do estoma podem ocorrer no prazo de um mês após a cirurgia, mas também numa fase posterior. [1] Alguns dos fatores que contribuem podem ser a localização do estoma, as suas características, a formação de fístulas ou o elevado débito. [1] Quando qualquer um destes obstáculos surge, os efluentes podem irritar a pele peri estoma e até infiltrar-se sob a placa. [2] Como resultado, a adesividade do dispositivo pode ser comprometida e a área circundante também pode ser irritada. [3]

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Macro da placa convexa Flexima Active O' com linhas verdes que realçam a convexidade suave

Se o seu utente sofrer de fugas, um dispositivo de ostomia convexo pode ajudar a resolver o problema. Pode determinar se é adequado avaliando o tipo de estoma e os contornos abdominais.

Quando deve sugerir um dispositivo de ostomia convexo?
Homem com saco de ostomia na parte superior do corpo nua com enfermeiro com luvas a indicar-lhe como aplicar o saco
Convexidade suavemente inclinada
Convexidade suavemente inclinada
Ilustração de saco de ostomia convexo aplicado à volta de um estoma
A mão pressiona a placa de um dispositivo com convexidade suave para demonstrar a sua flexibilidade

Descubra a última geração de dispositivos com convexidade suave: Flexima® Active O' convex

retrato da mulher com óculos

“Tenho observado excelentes resultados ao utilizar o Flexima Active O 'convex em utentes com áreas peri estoma “irregulares”. A convexidade suave é "suficientemente macia" e tem a "pressão necessária" para este tipo de pele. Sabe que as barrigas e os estomas geralmente não são ideais, como mostra a literatura. Mas os nossos utentes precisam da ajuda para viverem normalmente. E uma solução para mim agora é o Flexima Active O' convex.”

Mestre Zuzana Šilhánková, Enfermeira de estomaterapia, República Checa
retrato da mulher a sorrir

“Adoro o Flexima® Active Convex Uro. Dá-me a opção de utilizar um dispositivo convexo suave (e cinto) em alguns estomas pós-operatórios friáveis em que possa hesitar em utilizar um dipositivo convexo "normal". Recentemente, obtive excelentes resultados ao utilizar este método em utentes em que estava preocupada com a pressão na junção mucocutânea. Acho que a convexidade é suave, mas estável e é isso que faz a diferença!”

Kayleigh Brownlee-Moore - Reino Unido
Placa de base para ostomia Flexima® Active O' convex convexidade suave com 6 mm de profundidade.

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.

Placa de base Flexima® com 4 mm de profundidade.
Placa de base Flexima® 3S com sistema de acoplamento mecânico e profundidade de 6 mm.

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 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

Placa de base Flexima® Key com 4 mm de profundidade.
Proxima® 2+
Placa de base Proxima® 2+ com 8 mm de profundidade.

Referências

 
  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