From the Research
To remove a flexi seal (Fecal Management System), it is essential to follow a proper procedure to minimize the risk of complications and promote patient comfort and safety. The procedure involves gathering necessary supplies, explaining the process to the patient, and ensuring privacy.
Preparation and Removal
- Gather necessary supplies including clean gloves, towels, a waste container, and cleansing supplies.
- Explain the procedure to the patient and provide privacy.
- Wash hands and put on clean gloves.
- Deflate the retention balloon by attaching a syringe to the balloon port and withdrawing all fluid (typically 30-45ml).
- Once deflated, gently pull the catheter out using slow, steady pressure while supporting the surrounding skin.
Post-Removal Care
- Clean the perianal area thoroughly with mild soap and water, then pat dry.
- Assess the area for any skin breakdown, irritation, or pressure injuries.
- Document the removal, including the condition of the rectal area and any patient response.
The flexi seal should be removed as soon as clinically appropriate, as prolonged use can lead to complications such as rectal mucosa damage, pressure injuries, or sphincter dysfunction 1. Regular assessment of continued need helps minimize these risks while balancing the system's benefits of protecting skin integrity and preventing cross-contamination from fecal incontinence. Although the provided studies primarily focus on wound infections and management 2, 3, 1, and other skin conditions 4, 5, the key to successful removal of a flexi seal lies in careful preparation, gentle technique, and thorough post-removal care to prevent infection and promote healing.