Sur Fit Natura durahesive moldable convex wafer with no eakin seal or paste underneath it...just the convatec roll on skin barrier on his skin. (He probably does not need that but uses it)
Now that he has put on a little weight the convex wafer with the moldable feature seems to be doing the trick .. no leaks and so far his skin has not had a reaction...he will be doing a full change tomorrow which is a complete 6 days.
He was having a leaking situation with the hollister kind of out of the blue after 3 months and a skin reaction...maybe the skin reaction was in part due to the leaking even though he would change immediately and we are blaming the adhesive...we were seeing some signs of irritation before the leaking though....plus with the hollister convex wafer we were using the seals and paste since that is what the hospital and home health nursing had us do.
I just reasoned it out & guessed and asked him to try eliminating the eakin seals or adapt rings and paste and try less overall convexity to see if that would make a difference. I think the weight gain evened things out and also eliminated a crease he had with less weight after the surgery I think.
When he removes the SurFit wafer when you look at the underside it plumps up as though he used an eakin seal underneath it. It seems to hug the stoma well and his skin at the moment is not showing any signs of not tolerating it....fingers crossed that it continues this way for a long time.
If anyone is having a leaking issue maybe this might help you.