A new flangeless adhesive coupling system for colostomy and ileostomy

A large clinical study evaluated the performance and patient acceptance of a flangeless stoma system - the Esteem synergy system (ConvaTec). Key parameters for previous one-piece users were product versatility assessed by ease of application/removal, security, convenience of use and overall subject preference. Key parameters for previous two-piece users were product flexibility assessed by profile, comfort, rigidity, security, and overall subject preference. Wear time and safety were also assessed. In 44.5% of one-piece users the test product was rated at least as good as their usual product. In two-piece users the test product was statistically significantly better than their usual product in terms of flexibility and was rated at least as good as their usual system by 56.3% of subjects. The overall mean wear time was approximately 2 days. The test system was well tolerated. In summary, Esteem synergy successfully combined the attributes of both one- and two-piece stoma systems.