Esteem synergy®+ Pouches (Compatible with Esteem synergy® Skin Barriers.) The Esteem synergy®+ system features an innovative Adhesive Coupling Technology™. Instead of plastic rings, a foam adhesive securely couples the pouch to the skin barrier's clear plastic “Landing Zone." The result is a low profile, flexible, secure system, with the convenience of a one piece and the versitility of a two-piece. Esteem synergy® skin barriers feature Stomahesive® or Durahesive® technologies and are designed to be gentle yet durable to protect sensitive peristomal skin.