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The Esteem Synergy Skin Barrier uses a patented foam adhesive instead of a plastic ring that allows the pouch to be securely attached to the skin barrier on a clear plastic "Landing Zone" flange. The result is a low-profile, flexible, two-piece system. Stomahesive technology has unique combination of three naturally derived hydrocolloids that work with the body to provide skin-friendly protection and is still kind to the skin on removal. Stoma opening: Up to 3-3/8" Cut-to-Fit, Flat. Flange: 2-3/4" Size: 5" x 5". Box of 10.