This topic is about the real-world statistics and surgical risks associated with ostomy reversal, which is the process of reversing a colostomy or ileostomy. The discussion highlights that while some people may consider this surgery to improve their quality of life, it comes with significant risks and is not always successful. Here are some key points and advice shared by individuals who have experience with or knowledge about ostomy reversal:

1. Data from gastrointestinal surgery journals suggest that ostomy reversal is not always successful and carries significant risks. Factors that can negatively impact the success of the surgery include being over 55 years old, obesity, diabetes, and heart or pulmonary disease.

2. Potential complications from the surgery can include excessive scar tissue, accidental injury to nearby organs, fecal or anal leakage that might require the use of diapers, or waking up with a new ileostomy that could be more challenging to manage than the original colostomy.

3. A study with a 6½-year follow-up showed a 44% mortality rate among patients who underwent reversal, although the specific causes were not detailed. However, those who survived reported a better quality of life compared to those who kept their colostomies.

4. Some surgeons discourage reversal due to the high likelihood of leakage and odor issues. Laparoscopic reversal can shorten hospital stays but may lead to unnoticed intra-operative injuries, while open surgery provides better visibility and inspection of surrounding organs.

5. It is important to ask surgeons for full disclosure of the potential risks involved in the procedure and consider seeking second opinions.

6. Many ostomy nurses and surgeons caution that reversals often fail, and some patients may need to return to an ostomy, sometimes within months. Severe dehydration post-reversal can also lead to long-term dialysis.

7. Some individuals prefer to keep their ileostomy or colostomy, finding the pouch easier and safer than dealing with potential leakage, repeated surgeries, and other complications from reversal.

8. One person with a 3½-year loop ileostomy, colonic inertia, type-2 diabetes, obesity, and a large parastomal hernia has been advised against reversal by three surgeons due to the risks outweighing the benefits. This person is considering bariatric surgery for weight reduction to address chronic pain and limited mobility.

9. Another individual with a similar health profile, including a large hernia, type-2 diabetes, limited mobility, chronic pain, and multiple autoimmune/neurological issues, is interested in more information about hernia repair and the prospects of reversal.