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Modern ostomy seals: a clinical perspective on skin protection, fit and function

Murray, Catherine
Russell Roberts, Paul
Date
2025-10-03
Type
Journal Article
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Abstract
Aim: To critically examine the evolving clinical role of ostomy seals in supporting peristomal skin health and to define key performance attributes aligned with evidence-based stoma care. Background: Ostomy seals are often perceived as additional accessories. However, advances in material science and clinical understanding have re-defined their role as essential components in maintaining peristomal integrity and improving patient outcomes. Discussion: This article explores the functional and clinical expectations of modern ostomy seals, including moisture management, adhesion, mouldability and compatibility. It critiques the influence of added ingredients and calls for a return to core performance metrics. Skin protection, wear-time, ease of application and consistency are highlighted as critical domains for clinical decision-making. The importance of nurse confidence in product selection and outcomes is also discussed. Conclusion: Modern ostomy seals should be regarded as active clinical tools, not passive barriers. When selected intentionally, based on clinical reasoning, seals can enhance skin protection, reduce complications and reinforce nurse-led, patient-centred care.
Citation
Murray, C., & Roberts, P. R. (2025). Modern ostomy seals: a clinical perspective on skin protection, fit and function. Gastrointestinal Nursing, 23(7), 264-269. 10.12968/gasn.2025.0058
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