Choosing between a one-piece or two-piece ostomy system depends on your lifestyle, preferences, and the specific needs of your ostomy. Here’s a breakdown of each option:

Single Ostomy System (One-Piece System):

• Description: This system combines the barrier and pouch into a single unit.
• Pros:
  • Simplicity: Only one piece to apply, making it straightforward to use.
  • Reduced Risk of Leaks: There’s less risk of leaks at the junction between the barrier and pouch.
  • Convenience:Ideal for those who may have issues manipulating a two-piece system due to vision problems, arthritis, etc.
• Cons:
  • Replacement Frequency: You need to replace the entire appliance more frequently, which can be less economical.  This can also result in skin irritation and discomfort due to changing out the barrier more often.
  • Application: Removing and reapplying the whole unit can be more cumbersome than simply discarding one pouch and replacing it with a new one.

Separate Appliance and Pouch (Two-Piece System):

• Description: This system consists of two parts: a barrier (or baseplate) that adheres to the skin and a separate pouch that attaches to the flange on the barrier.
• Pros:
  • Flexibility: You can change the pouch without removing the barrier, which can be more comfortable and convenient.
  • Ease of Use: Changing a pouch is often quicker and can be done more discreetly.
  • Cost-Effective: Sometimes more economical in the long run as you only need to replace the pouch frequently, not the entire system.
• Cons:
  • Potential for Leaks: If the pouch is not attached properly to the barrier, there can be issues with leaks.

Considerations:

• Personal Comfort: Try both systems to see which feels more comfortable and meets your needs better.
• Lifestyle: Consider how active you are, how often you need to change your appliance, and how discreet you need the system to be.
• Skin Health: Your choice might depend on how your skin reacts to the adhesive or the fit of the appliance.

Consulting with an ostomy nurse or healthcare provider can help you make the best choice for your situation. They can provide personalized recommendations based on your stoma, skin condition, and lifestyle.

The D-Ostomy system is created to allow room to avoid overlap of these incisions when an ostomy appliance is placed to minimize pain, leakage, and other complications that can result from an appliance overlapping a wound or scar. In the same way that the straight edge of the D-ostomy appliance can be used to avoid incisions and scars in the immediate post-operative phase, it can also be used to avoid scars, rolls, folds, other dressings, drains, second ostomies, bellybuttons and anything else that may be nearby to your ostomy long term.