Introduction:  Having an ostomy can be emotionally overwhelming for a patient.  The “nightmare” can be poor adherence and subsequently embarrassing moments not to mention, skin breakdown due to effluent material contacting the skin.  Traditionally cyanoacrylates have been used in the emergency suite or the operating room.  Ostomy paste was conversely, traditionally used for ostomy adherence.  It is the intention of this study to examine the expanded role of a cyanoacrylate  in the role of an appliance adherent. 

Methods: 

Seventeen patients, ages 11 to 67, all with a history of poor adherence were followed.   All were alert and oriented, without behavioral issues which would lead to disturbing the appliance and were followed through the skilled or home environment.  Prior to this, all had been trained on appropriate care and used stomal paste.  Thirteen had ileostomies. Four had colostomies.  After careful examination of the appropriate fit of their appliance and any other skin issues which may have lent to poor adherence, all were changed to a medical grade cyanoacrylate.  The peri-stomal area was cleansed with pH balanced soap, water then pat dried.  The cyanoacrylate was applied to the entire area of flange contact and allowed to dry for one minute.  The appliance was then applied and a hand was placed over the appliance to encourage heating and molding of the appliance. 

Outcomes: 

11 resumed ostomy longevity of five days.

2  needed re-application within four days.

1  needed re-application within three days.

1  needed re-application within two days.

2  needed re-application within one day and subsequent use of skin cement.

Conclusion:  A medical grade cyanoacrylate is an effective alternative for paste products.

Special thanks to Continental Health Equipment for the cyanoacrylate, Liquishied, Medlogic Global, LLC.