Using a novel breathable silicone adhesive (Sil2™ technology) in stoma appliances to improve peristomal skin health: answering the key questions

Following the introduction of a range of silicone-based stoma care accessories, Trio Healthcare is further developing its range of novel silicone-based adhesive stoma products. This includes stoma appliances made from a unique patented formulation, known as Sil2™ technology, that has been designed to maintain skin health by allowing the skin to breathe. As the use of silicone technology in stoma care is new, it has raised a number of questions among stoma care nurses. This Q&A draws on clinical evidence and the author's experience as a specialist stoma care nurse to answer these questions and help nurses select and use the most appropriate appliance for their patients.

Silicone is widely used in wound care, continence and stoma care accessories, due to its inert, waterproof, non-toxic, non-odorous and hypoallergenic qualities. These properties also make it a safe and effective material for stoma appliances.

Many ostomates have an abdomen with an uneven surface for the flange to adhere to, which can cause problems with leaks and subsequent sore skin. Silicone polymers are extremely malleable and so can be easily moulded into creases and crevices around the stoma. This flexibility provides an excellent fit to the contours of the body and an effective seal against urine or faecal output (Meuleneire and Rücknagel, 2013).