This topic is about the healing process and care needed for an open wound left after a colostomy reversal surgery. The person has had their large intestine and old colostomy stoma removed, and they are now living with an ileostomy. The wound from the former stoma is considered a "dirty wound" and is left open to heal from the inside out to prevent infection. Here are some insights and advice shared by others who have experienced similar situations:

- The wound requires daily dressing changes and packing with an antimicrobial ribbon at a wound-care clinic, as the process can be painful.
- Healing time can vary significantly:
1. Smaller, healthy wounds might heal in 2–3 weeks.
2. A drain-tube hole could take about 4 weeks, with an additional 1–2 weeks for scabs to disappear.
3. An old stoma site might take around 6 weeks for someone who heals slowly.
4. A 1.5-inch-deep abdominal wound after hernia surgery could take 6–8 weeks.
5. A large, fluid-prone surgical wound might take up to 3 months.
6. A 10-inch-deep relocated-stoma cavity could take 5 months, with pain easing after about 6 weeks.

- In some places, modern practice suggests stopping the "stuffing" after five days and instead gently layering ribbon gauze to avoid prolonging the wound's openness.
- Signs of good healing progress include the wound becoming shallower, needing less packing, reduced pain, and no signs of infection.
- Fluid build-ups near the wound should be monitored, as they often drain or absorb naturally, but a surgeon should keep an eye on them.
- Eating plenty of fruits and vitamin-rich foods can support tissue repair.
- The pain from packing an open abdominal wound is intense but should lessen over time as healing progresses and nerve endings become less sensitive.
- General tips include getting plenty of rest, avoiding strain, keeping the wound clean, sticking to follow-up appointments, and maintaining a positive outlook.