Esteem synergy® Adhesive Coupling Technology™ Stomahesive® Skin Barrier. Pre-cut, Stomahesive® Skin Barrier with flexible tape collar. The Esteem synergy® ostomy system features an innovative Adhesive Coupling Technology™. 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.