scholarly journals Developments in silicone technology for use in stoma care

2020 ◽  
Vol 29 (6) ◽  
pp. S6-S15 ◽  
Author(s):  
Thomas Swift ◽  
Gillian Westgate ◽  
Julie Van Onselen ◽  
Stewart Lee
Keyword(s):  
Water Loss ◽  
Wound Care ◽  
Contact Layer ◽  
Skin Damage ◽  
Wear Time ◽  
Barrier Films ◽  
Moisture Management ◽  
Skin Tears ◽  
Medical Adhesive ◽  
The University

Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit trans-epidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal trans-epidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.

scholarly journals Developments in silicone technology for use in stoma care

2021 ◽  
Vol 30 (Sup8) ◽  
pp. 7-18
Author(s):  
Thomas Swift ◽  
Gillian Westgate ◽  
Julie Van Onselen ◽  
Stewart Lee
Keyword(s):  
Water Loss ◽  
Wound Care ◽  
Contact Layer ◽  
Transepidermal Water Loss ◽  
Skin Damage ◽  
Wear Time ◽  
Barrier Films ◽  
Moisture Management ◽  
Medical Adhesive ◽  
The University

Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit transepidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal transepidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.

Use of breathable silicone technology in an ostomy appliance flange

2021 ◽  
Vol 30 (Sup8) ◽  
pp. 25-35
Author(s):  
Peta Lager ◽  
Lisa Loxdale
Keyword(s):  
Preliminary Data ◽  
Transepidermal Water Loss ◽  
User Evaluation ◽  
Skin Damage ◽  
Healthcare Use ◽  
Skin Injury ◽  
Moisture Management ◽  
Peristomal Skin ◽  
Medical Adhesive ◽  
Over Time

Leaks and peristomal skin complications are highly prevalent among people with a stoma, reported by over 80% of ostomates within 2 years of surgery. This suggests that there is room for improvement in ostomy appliances, particularly in their hydrocolloid-based adhesive flanges. Hydrocolloid has an absorptive method of moisture management that, over time, risks maceration and skin stripping, potentially leading to moisture-associated skin damage (MASD) and medical adhesive-related skin injury (MARSI). The newly developed Genii ostomy appliances (Trio Healthcare) use novel Sil2 Breathable Silicone Technology to provide secure, effective adhesion and manage moisture levels by replicating natural transepidermal water loss (TEWL). This has the potential to increase appliance wear time, reduce incidence of MASD and permit atraumatic removal without adhesive remover, reducing the risks of MARSI, as well as time burdens on the user and economic burdens on the healthcare system. Meanwhile, the silicone flanges and water-resistant sports fabric pouches are lightweight, flexible and unobtrusive, and they are the first appliances to be available in colours to match different skin tones, all of which provides security, comfort, confidence and discretion. This article explores the features of Sil2 and Genii ostomy appliances, with reference to preliminary data from a user evaluation.

Using a novel breathable silicone adhesive (Sil2 technology) in stoma appliances to improve peristomal skin health: answering the key questions

2021 ◽  
Vol 30 (Sup8) ◽  
pp. 19-24
Author(s):  
Fiona Le Ber
Keyword(s):  
Skin Damage ◽  
Skin Injury ◽  
Moisture Management ◽  
Silicone Adhesive ◽  
Peristomal Skin ◽  
Medical Adhesive ◽  
Key Questions ◽  
Stoma Care

Fiona Le Ber answers some of the questions that stoma care nurses may have regarding this novel silicone adhesive based technology, which helps to avoid medical adhesive related skin injury (MARSI) and moisture-associated skin damage (MASD). Whereas hydrocolloid stoma appliances absorb moisture, this has a non-absorptive method of moisture management that prevents peristomal skin becoming damp and excoriated.

Using a novel breathable silicone adhesive (Sil2™ technology) in stoma appliances to improve peristomal skin health: answering the key questions

2020 ◽  
Vol 29 (16) ◽  
pp. S16-S21
Author(s):  
Fiona Le Ber
Keyword(s):  
Skin Damage ◽  
Skin Injury ◽  
Moisture Management ◽  
Silicone Adhesive ◽  
Peristomal Skin ◽  
Medical Adhesive ◽  
Key Questions ◽  
Stoma Care

Fiona Le Ber answers some of the questions that stoma care nurses may have regarding this novel silicone adhesive based technology, which helps to avoid medical adhesive related skin injury (MARSI) and moisture-associated skin damage (MASD). Whereas hydrocolloid stoma appliances absorb moisture, this has a non-absorptive method of moisture management that prevents peristomal skin becoming damp and excoriated

Wounds Week 2: 1–5 February 2021

2021 ◽  
Vol 30 (3) ◽  
pp. 213-221
Keyword(s):  
Wound Care ◽  
Care Community ◽  
On Demand ◽  
Registration Process ◽  
Question And Answer ◽  
To Come ◽  
Set Up ◽  
The University ◽  
Difficult Times

On 1 February, Journal of Wound Care and the University of Huddersfield streamed the first of the live webinars on their Wounds Week channel ( www.woundsweek.com ). All sessions are now available to watch on-demand. With highly innovative topics, Wounds Week 2 gives a chance for the wound care community to come together in these difficult times and engage in key education, free of charge. The sessions had live question and answer sessions; participants asked questions of the experts, making them a key part of the event. The registration process takes just a minute. There's nothing to install or set up—simply register and fill out your details. Follow on twitter at #WoundsWeek

Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage

2020 ◽  
Vol 29 (5) ◽  
pp. 245-259 ◽  
Author(s):  
Amit Gefen ◽  
Karen Ousey
Keyword(s):  
Health Professionals ◽  
Pressure Ulcers ◽  
Wound Care ◽  
Skin Damage ◽  
Frontline Staff ◽  
Consensus Document ◽  
Simple Strategy ◽  
Digital Format ◽  
Introductory Article ◽  
Novel Coronavirus

The 2019 novel coronavirus disease (COVID-19) pandemic has brought the effects of device-related pressure ulcers (DRPU) into sharp focus. With the increased use of personal protective equipment (PPE), including face masks, continuous positive airway pressure (CAPP) masks and other devices, the incidence of DRPUs among health professionals and patients alike has risen starkly. As such, the Journal of Wound Care (JWC) consensus document, Device-related pressure ulcers: SECURE prevention, published in February 2020, is more relevant than ever. To help support patients and frontline health professionals, JWC is republishing the consensus in a digital format, along with a new introductory article outlining the DRPU risks posed by PPE and other medical devices used by patients and health professionals during the pandemic, and how the skin damage can be avoided. The aim is to provide frontline staff with a clear, simple strategy on how to prevent the risk of personal skin damage and/or DRPU during the pandemic, as well as point them in the direction of more indepth guidance on long-term strategies for prevention, for both themselves and patients.

USE OF A NOVEL CONTACT LAYER IN WOUND CARE

2007 ◽  
Vol 34 (Supplement) ◽  
pp. S27
Author(s):  
Margaret Willson ◽  
Lisa Mariotti
Keyword(s):  
Wound Care ◽  
Contact Layer

Corneocyte Nanotexture as Biomarker for Individual Susceptibility to Skin Irritants

2020 ◽  
Author(s):  
Lars Rüther ◽  
Sanja Kezic ◽  
Christoph Riethmüller
Keyword(s):  
Water Loss ◽  
Transepidermal Water Loss ◽  
Skin Condition ◽  
Individual Risk ◽  
The Novel ◽  
Skin Damage ◽  
Wide Spread ◽  
Individual Susceptibility ◽  
High Degree ◽  
Skin Irritants

Abstract Irritant contact dermatitis is a wide spread occupational skin condition. In addition to generalized protection and teaching schemes, a knowledge about individual risk might add to an improved awareness for hazards. Here, we report on a novel candidate biomarker, which might stage individual susceptibility to irritant skin damage. Subclinical sensitivity was proven in recent studies. As a nano-anatomical measure, it works non-invasively on corneocytes from tape strips. Here, we report on a 7-day course after exposure to sodium lauryl sulphate and compare the novel cell texture index with the classical markers water loss (transepidermal water loss) and natural moisturizing factor. All parameters show a high degree of correlation.

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