Ostomy system features an innovative Adhesive Coupling Technologyâ„¢. Instead of plastic rings, a patented foam adhesive 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® skin barriers are designed to be gentle on peristomal skin.- Adhesive Coupling, Pre-Cut, Stomahesive Skin Barrier with Tape Collar, White, 1 1/4" Stoma Opening, 4" x 4", 10/bx (Continental US Only) 14-21 Days