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Adjustment to a temporary compared to a permanent ostomy: A qualitative analysis of survey responses.

Applied nursing research : ANR·2025
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Updated: Apr 24, 2026

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Faecal management systems for disabling incontinence or wounds.

Ian Whiteley1, Gael Sinclair

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Summary

Managing fecal incontinence and preventing wound contamination is challenging. Purpose-designed fecal management systems offer a more efficient and cost-effective solution compared to ad hoc methods.

Keywords:
BowelFaecalIncontinenceManagementSystemWounds

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Area of Science:

  • Medical Devices
  • Gastroenterology
  • Wound Care

Background:

  • Protecting the perineum from fecal enzymes and preventing wound contamination poses significant challenges for healthcare professionals.
  • Various non-standard devices and interventions have been trialled for managing fecal incontinence, with limited evaluation of their efficacy.
  • A literature review revealed a lack of research on ad hoc devices and purpose-designed systems for fecal incontinence management.

Purpose of the Study:

  • To review and consider the use of purpose-designed fecal management systems (FMS) and bowel management systems (BMS).
  • To evaluate the efficiency and cost-effectiveness of formal FMS/BMS compared to traditional methods.
  • To discuss available FMS/BMS in the Australian market.

Main Methods:

  • Literature review of existing methods and devices for fecal incontinence management.
  • Identification and consideration of purpose-designed systems like ConvaTec Flexi-Seal® FMS, Hollister InstaFlo®, and ActiFlo® BMS.
  • Comparative analysis of ad hoc measures versus formal FMS/BMS.

Main Results:

  • Limited research exists on the evaluation of various ad hoc devices for fecal incontinence.
  • Purpose-designed systems, such as FMS and BMS, represent a more formal approach to managing fecal incontinence.
  • These systems are believed to be more efficient and cost-effective than ad hoc interventions.

Conclusions:

  • Purpose-designed fecal and bowel management systems are recommended for managing fecal incontinence.
  • These systems offer improved efficiency and cost-effectiveness over traditional, non-standard methods.
  • Further evaluation of formal FMS/BMS is warranted to support clinical practice.