HydroFrame^®

Patient Case Histories

In patient studies, the use of Welland HydroFrame^® dramatically increases pouch wear time, saving money and resulting in fewer pouch changes.

CASE 1

Mr P is a 27 year old ileostomate. He has a temporary loop ileostomy that has prolapsed. His stoma pouches would not adhere well to his skin due to the weight of his prolapsed stoma.

Before using HydroFrame^®, the patient was using Retention Strips with an oval pouch. He developed contact dermatitis from the strips and found that tape would not adhere to his skin. He was using over 60 pouches a month and 360 Retention Strips. This was costing the Department of Heath (with skin barrier creams) over £158 a month.

He has found HydroFrame^® easy to apply and comfortable. Most importantly, HydroFrame^® did not cause any skin irritation.

He reduced the number of times he changed his pouch by over half. The cost to the Department of Health went down to just £49.65 a month.

CASE 2

A female medical secretary aged 48 years old has an ileal conduit as a result of a failed Mitrofonoff pouch (urinary diversion). Due to continuing problems, she has had to have the stoma re-sited 6 times and her abdomen is covered in old scars from her surgery. Consequently, she cannot maintain a patent pouch (keeps blocking).

Unfortunately, she has an increased urine output because she is on diuretics for heart failure. She is a smartly dressed lady but needs regular counseling as she is permanently ‘wet’ because her pouch is constantly leaking.The secretary is also allergic to lots of products including adhesives that could be used to secure the pouch. Whilst using HydroFrame^®, her skin appeared to show no allergic reaction.

She was using 112 urostomy pouches a month, 112 Secuplasts a month, plus a variety of creams and skin barriers at a cost of £7,344.12.

With HydroFrame^®, pouch changes were down to 60 a month (cut by almost half) and there was no need for creams or skin barriers as the areas around her pouch were no longer leaking.

This was a huge breakthrough for this lady as she could now work safely in the knowledge that she would be leak free, giving her increased confidence.

CASE 3

Mrs B is an 81 year old lady with an ileostomy who is self caring. She had an unsuccessful repair of a large parastomal hernia.

She found the pouches lifted at night and needed to sleep with a plastic bag over her stoma site due to a number of leakages. This lack of confidence with her pouch meant she felt it necessary to change her pouch every day even though it was a 2 piece drainable pouch.

Using HydroFrame^®, Mrs B now feels much safer and only needs to change her pouch three times per week. She comments how much more comfortable she is and can sleep through the night as she does not have to get up to check that her pouch is still secure.

CASE 4

Mrs S is a lady who has FAP (Familial Adenomatous Polyposis) and a Desmoid tumour (benign tumour). She also has a high output jejunosotomy. She currently uses a 2 piece pouch for high output.

Prior to HydroFrame^®, Mrs S was using Micropore based tapes to provide extra adhesion to cope with her explosive output. She also found her pouch was very heavy due to the output and the pouch needed extra support. Unfortunately the Micropore tape caused the peristomal skin to react to the adhesive causing contact dermatitis.

She was using Orahesive Powders and skin barrier sprays because of the skin reaction and she was having to regularly change her pouch, as the pouch kept coming away from her body (due to her high output). This was a cost to the Department of Health of over £2,827 a year.

By switching to HydroFrame^® the Department of Health made a cost saving of over £1,444 a year as the need for extra skin protectors was decreased. This was because HydroFrame^® is made from hydrocolloid which helps sore and excoriated skin.

CASE 5

This ostomate is an elderly gentleman with a large peristomal hernia who also has a prolapsed stoma. He needs an additional flange not only to support the weight of the prolapse, but also because the shape of the hernia causes the pouch to lift in certain areas.

He also suffers from a painful rash called ‘pemphogoid’ on the skin around his stoma, which was exacerbated by the use of Micropore based tapes.

He was having to change his pouch on average 4 times a day (120 pouches a month). Because of the painful pustules and excoriated skin he was also having to use steroid creams, skin barriers, and Orahesive Powder to help reduce the skin irritation.

This was at a cost of over £9,153 per year to the Department of Health. With the use of HydroFrame^® the annual cost was reduced by over £6,694. More importantly, the hydrocolloid drastically reduced the skin excoriation, reduced the amount of pouch changes required, reduced the time spent in the toilet and painful pouch changes.