Hi Pete!
The surgeons had stitched the flange down (about the size of a dollar coin) I was told just to hold it in place while the wound healed around the tube. It was too tight to the skin and the nurses couldn't clean underneath it. There was a minor infection started and the nurses insisted that the stitches be cut away. An intern finally showed up with scissors, a needle and new suture, ready to cut the old away and restitch. Needless to say, she only accomplished the first half of her mission!