1. Karaya Seal Drainable Stoma Pauch with Microporous Adhesive

Abstract

New ostomy appliance of Karaya seal drainable pouch with microporous adhesive was fitted to 50 ostomists who had been rehabilitized. They were instructed to wash out inside the pouch without removal of the appliance. Confidential questionaires were provided for assessing of eleven items. Each items graded 0 (the best) to 5 (the worst) and treated statistically. Three ileostomists and 39 colostomists responded. Tolerated duration of adhesion per an appliance was 3.2 days in the mean, 12 days in the maximum. Holding-power was 1.6 grade in the mean, while separation was nonpainful (0.7 grade). Fitting of the appliance was excellent (0.9 grade). Its change while sweating was minimal (0.9 grade). Odor leakage was seldom (1.1 grade), and fecal leakage was limited only on some diarrhea (0.8 grade). Management of defecation was easy with wash-and-drain method (1.7 grade). Skin irritation was rarely occurred (0.5 grade) and only one patient developed vesicles. In 26 out of 31 cases peristomal dermatitis was improved or healed completely within 4 weeks.Most of them felt comfortable (1.2 grade) and their general impression for the appli-ance was 1.0 grade : The best in 7 cases, excellent in 22, good in 9, fair in 2, worse in one, and the worst in one case of ileostomy.The data showed that this new appliance was effective in 84% for treatment of peristomal dermatitis and that this was also preventive for skin irritation.