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What is the meaning of Parastomal?

Published in Medical Terminology 2 mins read

The term Parastomal refers to the area located around or adjacent to a stoma. It is a medical descriptor used to specify proximity to an surgically created opening on the body, typically on the abdomen.

Understanding "Parastomal"

The word "Parastomal" is derived from two Greek components:

  • Para-: A prefix meaning "alongside," "near," or "adjacent to."
  • Stoma: Referring to an artificial opening created on the body, usually for the discharge of bodily waste (e.g., colostomy, ileostomy, urostomy).

Therefore, "parastomal" literally means "next to the stoma" or "around the stoma."

Common Usage: Parastomal Hernia

The most prevalent context in which the term "parastomal" is used is in describing a parastomal hernia. This is a well-known complication for individuals living with a stoma.

A parastomal hernia manifests as a bulge or swelling that develops around or directly underneath the stoma site. This condition can lead to several functional challenges and impact the daily life of an individual with a stoma.

Key characteristics of a parastomal hernia often include:

  • Location: A noticeable protrusion or swelling appearing in the immediate vicinity of the stoma.
  • Development: It typically develops gradually, meaning the bulge may not appear overnight but rather emerge and grow in size over a period of time.
  • Impact on Stoma Function: The presence of a hernia can disrupt the normal function of the stoma, potentially leading to issues with output or discomfort.
  • Appliance Security: One of the significant problems associated with a parastomal hernia is compromised security of the stoma appliance (pouch). The irregular shape caused by the bulge can make it difficult for the pouch to adhere properly, increasing the risk of leaks and skin irritation.

Importance in Medical Context

Understanding "parastomal" is crucial in the medical field, especially in specialties dealing with ostomy care and abdominal surgery. It helps healthcare professionals accurately identify, diagnose, and manage conditions affecting the area surrounding a stoma. Awareness of parastomal complications, such as hernias, enables timely intervention and improved patient outcomes.

Related Terms and Care

While "parastomal hernia" is the primary association, the term "parastomal" can also describe other conditions or aspects related to the stoma area, such as parastomal skin complications, which involve skin issues directly adjacent to the stoma. Effective stoma care often includes vigilance for any changes in the parastomal region.