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A simple, inexpensive colostomy appliance can be made by using common 40-gauge clear plastic, from which the rear window of a convertible car is usually made. This material is soft and pliable and molds itself nicely to the abdominal contour. It is easily cut so that its central opening can be made quite large to allow its use shortly after the performance of the colostomy when the external portion of the intestine is still quite large because of the edema.
The clear plastic is cut from a sheet in the design shown in figure 1. At either end is a Dot Snapper fastener. To one end the webbed, elastic strap is fastened and to the other end the Dot buckle. The usual plastic bag fits through the central opening and its ends turn over the circular portion of the plastic disk (fig. 2).
Hirsch S. A SIMPLE, INEXPENSIVE COLOSTOMY APPLIANCE. JAMA. 1957;165(5):452. doi:10.1001/jama.1957.72980230002006a
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