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Mar 16, 2010

How Long Did Your Ostomy Reversal Take?

This topic is about the typical waiting periods and recovery experiences for people who have undergone a colostomy or ileostomy reversal. A reversal is a procedure to reconnect the bowel after a temporary ostomy. Here are some insights and advice shared by others who have been through similar experiences:

- Many surgeons recommend waiting 6 to 10 months before attempting a reversal. This allows the colon and abdomen to heal fully and for any inflammation, infection, or adhesions to settle down.

- Some people have had successful reversals sooner, around 4 to 5 months, but it's crucial to ensure adequate healing and have clear imaging and tests before scheduling the procedure.

- The reversal surgery can be more challenging than the initial ostomy operation. Incisions around the stoma can be more painful and may leave lasting tenderness compared to mid-line incisions.

- Post-operative bowel function can vary greatly. Some people experience a quick return to normal bowel function within days, especially if they waited 9 to 10 months. Others may face "bowel amnesia" and prolonged pain or diarrhea, particularly if the ostomy was in place for a shorter time, like around 5 months.

- Hospital stays after a reversal can range from 3 days to 3 weeks, and recovery at home may take several months.

- Factors such as age, general health, previous infections, blood-clotting disorders, and overall surgical risk should be considered when deciding on the timing of the reversal.

- Emotional challenges are common, and many find counseling, strong support networks, and sometimes medication helpful in coping with depression or anxiety.

- Gradually increasing activity, like starting with short walks and progressing to longer ones, can aid the healing process. It's important to listen to your body and be prepared for a slower recovery if you typically heal slowly.

- Trusting a skilled colorectal surgeon and carefully weighing the pros and cons are essential. Schedule the reversal only when you and your medical team are confident that the conditions are optimal.
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