Esteem body convexity algorithm to prevent leakages in patient with an ostomy: results of an Italian expert opinion.

Abstract

Stoma surgery is frequently used to treat conditions such as colorectal cancer and inflammatory diseases. While it can extend patients' lives, it often introduces challenges that negatively affect quality of life. Convex skin barriers are commonly recommended for managing flat or retracted stomas and addressing irregular peristomal surfaces, such as creases or folds. Despite the variety of convex products available, there is limited evidence guiding their proper selection and use. This study explores the application of Esteem Body^™ with Leak Defence^™ Soft Convexity by Convatec, focusing on achieving stoma protrusion and peristomal skin flattening to protect against leakage in patients with an ostomy. Eighteen Italian stomacare nurses participated in three expert panel meetings. These sessions reviewed the latest literature on the five main characteristics of convexity, assessed abdominal planes and stoma profiles, and discussed the device's safety, efficacy, usability, and potential impact on patient outcomes. The expert panel developed an algorithm to guide the selection of appropriate convexity based on stoma and abdominal profiles. The proper use of Esteem Body^™ with Leak Defence^™ Soft Convexity can significantly improve clinical outcomes by optimizing leakage prevention, enhancing stomacare nurses' decision-making, and improving patients' quality of life.