Cutting the ostomy wafer

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New Member

Date Joined Jul 2011
Total Posts : 3
   Posted 7/22/2011 9:32 AM (GMT -6)   
Hi everyone,

I am new to this forum, and I hope you can help me understand some parts of the ostomy procedure. thank you!

1, When cutting the wafer, do you usually cut it as close to circular as possible?
2, Are there anything you do personally on the cut that help your ostomy experience? (i.e. something you do "naturally" that you might not notice at first.) e.g. cutting slightly bigger/smaller than the stoma measuring template, cutting a slightly oval shape, etc.
3, Are there any tight requirements for dimensions? (i.e. to stop leaks, etc.)

Thank you so much for reading this and helping me.

Veteran Member

Date Joined Oct 2009
Total Posts : 1054
   Posted 7/22/2011 12:27 PM (GMT -6)   
Hi and welcome!
You should cut the wafer to the shape of your stoma. If it's round, do round. If it's oval, do oval. I have not noticed anything that I do to help...I've heard you should leave 1/8 inch between the circle and your stoma, but I don't know if that's official. You really just have to try and see what works for your body.
Stephanie, 29 years old

March 2000-Diagnosed Crohn's Colitis
(Tried every drug imaginable, but lived 10 years with daily diarrhea)
March 18, 2010-Total Proctocolectomy and Permanent Ileostomy! :)
(Now med free, 4 subsequent procedures to correct blockages at stoma site)

Stoma named Zoe...She's my best bud!! :)

Veteran Member

Date Joined Feb 2011
Total Posts : 1059
   Posted 7/22/2011 12:59 PM (GMT -6)   
I changed to mouldable wafers so no cutting involved as the wafer has a small hole in it, approx an inch on mine, and this acts like a turtle neck around the stoma and snugly fits around it so prevents leaks regardless of how much you move as the wafer then moves with you. Have you looked into trying these as they are really comfortable to wear and help protect against leaks.
Crohn's dx 1989, loop ileo 1992, end ileo 1992. Arthritis developed 1990 Stoma abcess 1995. Azathioprine started 1995. Panprocolorectomy 1999. Stillbirth 2000, antiphospholipid syndrome dx 2000. Flare up 2004, stoma abcess and strictoplasty 2004. Low blood pressure dx with impaired kidney function 2006, fludrocortisone pres. flare up 2010, steroids, Humira, codeine.

Regular Member

Date Joined Nov 2010
Total Posts : 215
   Posted 7/22/2011 5:28 PM (GMT -6)   
I've been experimenting with this very thing. I've found it's best to cut it really close with just a tiny gap (kinda hard to be this precise without making a few templates). I use the pre made templates to see which size I'm closest to, then I draw that on the wafer but when I cut, I adjust it and make it more oval. I keep the plastic from the last pouch to compare with my new cut.
DX 2/10 UP. DX 07/10 UC. Pancolitis. tried: Canasa, Asacol, Bentyl, Imodium, Imuran, Prednisone, Flagyl, Cipro, Remicade, Codeine, Tramadol, Xanax, Morphine, Vicodin, Prozac, ~ nothing worked. 1st surgery 6/8/11! 2 more to go!
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