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Thin Film Composite Silicon Elastomers for Cell Culture and Skin Applications: Manufacturing and Characterization
Published on: July 3, 2018
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Developments in silicone technology for use in stoma care
Thomas Swift1, Gillian Westgate2, Julie Van Onselen3
1Lecturer in Polymer Chemistry, University of Bradford.
British Journal of Nursing (Mark Allen Publishing)
|September 21, 2023
Summary
Novel silicone flanges manage moisture through evaporation, reducing skin damage and improving wear time for ostomy patients. This innovation aims to decrease complications like medical adhesive-related skin injury (MARSI) and moisture-associated skin damage (MASD).
Area of Science:
- Biomaterials Science
- Dermatology
- Medical Device Technology
Background:
- Soft silicone is widely used in therapeutic devices due to its flexibility, adhesion, and hypoallergenic properties.
- Silicone is utilized in wound care and stoma accessories, but not traditionally in stoma flanges due to moisture management limitations.
- Traditional hydrocolloid stoma appliances can lead to saturation, skin damage (MASD), and skin tears (MARSI) upon removal.
Purpose of the Study:
- To introduce novel silicone compounds for stoma appliance flanges with advanced moisture management capabilities.
- To address the limitations of traditional hydrocolloid stoma appliances in managing peristomal skin health.
- To reduce the incidence of medical adhesive-related skin injury (MARSI) and moisture-associated skin damage (MASD) in ostomy patients.
Main Methods:
- Development of novel silicone compounds utilizing an evaporation-based moisture management mechanism.
- Utilizing colloidal separation to allow water vapor passage equivalent to normal transepidermal water loss.
- Testing and application of these silicone compounds in prototype stoma appliance flanges and flange extenders.
Main Results:
- The new silicone compounds effectively manage moisture via evaporation, minimizing moisture-associated skin damage (MASD).
- The technology allows for increased appliance wear time and atraumatic removal without adhesive solvents.
- Prototype silicone-based stoma appliance flanges are designed to significantly reduce peristomal skin complications like MARSI and MASD.
Conclusions:
- Novel silicone technology offers a breakthrough in stoma appliance design for improved peristomal skin health.
- This innovation has the potential to increase ostomy appliance wear time, reduce healthcare costs, and enhance patient quality of life.
- Further development and clinical application of silicone-based stoma flanges are expected to significantly decrease skin complications in ostomy care.
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