Prospects for the Use of Spray Film-Forming Systems in Stoma Fixation

Abstract

Abstract. The potential of spray film-forming systems for prevention and therapy of peristomal complications is highly significant. The advantages of the dosage form include creation of protective skin barrier, prolonged release of active substances of anti-inflammatory, antiseptic, regenerative spectrum of action, etc. Polymeric compositions can delay and partially prevent the aggressive media impact released by stomas via osmotic action and neutralize the allergic potential of adhesives for attachment of stoma and pouching system. A flexible and thin film can be created via controlled spraying that follows the skin texture, interrupting the irritation "vicious circle". The pH of the composition will reduce the pH of the irritated skin and related microbial contamination. Creation of such form will significantly improve stoma patients’ life quality, prevent some peristomal complications and facilitate skin care surrounding stoma, especially in difficult postoperative periods. The aim was to establish the potential of spray film-forming systems and the prospects of drug development in such a new dosage form to prevent peristomal complications as maceration, allergic dermatitis, and infection complications of mechanical injuries of bacterial and fungal nature, to determine the main properties required from the resulting film, as well as relevant active substances spectrum. In addition, two types of medications were suggested to help patients with self-diagnosis of stoma discharge on the surrounding skin and partially prevent irritation until the problem is detected.