Using eakin Cohesive® seals for the management of difficult to access stomas

Case study submitted by: Margie Reid, Clinical Practice Consultant, Stomal Therapy Nurse (Credentialled), Adelaide, South Australia.

Patient history:

  • 65 year old female
  • Presented with perforated large bowel as a result of Crohn’s Disease
  • Emergency laparotomy, colectomy & end ileostomy
  • Stoma not sited pre operatively

Nurse review:

  • Stoma not visible due to position in skin fold
  • Patient education – unable to see stoma
  • Contact dermatitis

Nurse recommends:

difficult to access stoma

  • Use of small eakin Cohesive® seals to protect peristomal skin and treat contact dermatitis
  • Application of suitable appliance:
    • that contains output
    • that moulds to patient’s abdominal contours
    • that is simple to apply


eakin seal on a stoma

  • Patient independent with stoma care
  • eakin pelican pouch™ appliance lasting 3 days
  • Considering not having reversal of stoma due to confidence in her appliance

Reasons to use:

  • Smoothing out irregular skin and filling dips and creases1,2,3,4
  • Encircling the stoma to prevent corrosive output from damaging the appliance flange2,3
  • Adding protection for people with a high output ileostomy2,3,4
  • Protecting against contact dermatitis1,2,3,4
  • Prevention of repeated stoma problems2,3

Clinical evidence for choosing eakin Cohesive® seals:

Superior absorption4
High protection against enzymes 3,4
Combats irritants3,4


  1. Boyles A (2010) Keeping up to date with stoma accessories: enabling informed choice. Gastrointestinal Nursing 8:6 28-42
  2. Evans S, Burch J (2017) An overview of stoma care accessory products for protecting peristomal skin. Gastrointestinal Nursing 15:7 25-34
  3. Kelly O’Flynn (2016) Protecting peristomal skin: a guide to conditions and treatment. Gastrointestinal Nursing 14:7 14-19
  4. Mc Groggan G, Haughey S and McDowell K (2018) An absorbent, enzyme-inhibiting seal reduces peristomal skin complications. Gastrointestinal Nursing 16:1 42-49