This is a choice for those who have had a bladder or colon
diversion surgery, and this is where it comes with a skin barrier or wafer and
pouch that are joined as one singular unit. This offers more simplicity than a
two piece system, but the one downside to it is that you’ll need to change the
entire system when you change out the pouch, so it does involve a little bit
more work.
Of course, the best way to determine if this is for you is
of course, if you talk to your nurse or healthcare provider during all of
this. you can also figure out whether
you need a closed bag or a drainable bag, since this means you’ll need to
either discard it, or just emptied and then put back. Appliances in that case
can also be one or two piece. The one piece is a bag that’ attached to an
adhesive square that’s stuck around the stoma.
The two piece uses a flange that adheres to the skin that can be removed
without hurting the skin.
Closed bags are usually used for those with formed stools, while the drainable bag is for those who have loose stool, or fluid stool, such as in the case of an ileostomy. Urobags will have a seal at the bottom to help reduce leakage of those types of bags.
They each have their own benefits and drawbacks, depending
on the kind of process and type of device that you feel you need.
You use a drainable one piece appliance when you can easily
drain it. Some of these have filters, but the problem is they have varying
levels of satisfaction from patients based on how these control the odor and
release the flatus. Some prefer the release of the flatus via the bag outlet.,
but, care must be used so that fecal spillage doesn’t happen, and usually it
takes a bit of time and patience when using this method, since you can get rid
of the flatus easily, but the removal of the solid faces through the bag can be
more difficult, since patients may have to accept the decreased ease of this in
order to get an increased ease of removal.
The drainable appliances are usually more costly too. If the patients
change them more frequently, that will require more bags, and of course,
drainable bags are drained much more often. The drainable options do offer an
easier means of cost.
One piece bags come in many different sizes and styles
depending on what the patient wants. There are appliances which have an opening
near the top where it drains into a bag, and there might be a resealable
opening at the bottom of this, in order to allow for emptying. There also might
be an adhesive seal around this in some cases, but some might have a separate
seal that the bag attaches to for good results.
One piece ostomy bags are less evident under clothes, so
it’s good for patients that have tighter fitting clothes. They offer more
confidence in a lot of cases, adhere better to flabby or scarred skin, is more
economical since the parts will come together easily, the one-piece systems
have less parts so patients that have dexterity problems will have less issues
with it, it’s oftentimes easier and better for those who struggle with motor controls,
since it can be placed quite easily, and it also is good for swelling abdomens.
This type of system is good for some people, and some will prefer the one piece over the two piece systems when it comes to their type ofostomy bag.
