Stoma Support Ostomy Hernia Belt for Colostomy Bag Ab. Binder w/ Stoma OpeningThe Alpha Medical Stoma / Ostomy Abdominal Binder with Stoma Opening is made in the USA with first quality materials. The stoma cut out is 2 3/8” in diameter. The binder is designed so that it can be put on and taken off without the need for removing the colostomy bag. There is a removable plastic panel around the stoma to provide protection, support, and to help maintain the shape of the binder at the stoma. The abdominal support is ideal for hernias, soothing abdominal compression, skin irritation, sanitation, and more. Size Guide: Measure around abdomenSmall: 27″ – 35″Medium: 36″ – 45″Large: 46″ – 59″X-Large: 60″ – 72″Care Instructions:To care for the Alpha Medical Stoma / Ostomy Abdominal Binder with Stoma Opening remove the plastic panel. Fasten all hook and loop closures. Machine wash with cool water and mild detergent. Hang to dry; do not use dryer. Do not iron.