This topic is about the journey and considerations involved in reversing a Hartmann operation, which is a procedure where part of the colon is removed and a colostomy is created. The person sharing their experience has been living with a sigmoid colostomy for 14 months after an emergency surgery due to complications from a biopsy. They are now considering a reversal surgery, which involves reattaching the colon and rectum and possibly creating a temporary ileostomy. Here are some insights and advice shared by others who have been through similar experiences:

1. Seek multiple surgical opinions:
- In the U.S., some surgeons perform a Hartmann reversal in one stage. Exploring different opinions might reveal less invasive options.
- Consider whether the long wait of 14 months is why a protective ileostomy is now recommended.

2. Timing versus surgical staging:
- Some have had a single-stage open reversal just 3 months after the initial surgery, avoiding an ileostomy.
- For those with severe sepsis or peritonitis, a two-stage approach might be safer due to infection-related damage.

3. Expect a wide range of recoveries:
- Bowel function can resume, but some experience runny or irregular stools for months.
- Others have faced challenging recoveries, including additional surgeries, infections, and long hospital stays, but still find relief in being stoma-free eventually.

4. Possible complications to discuss with your medical team:
- Adhesions that could lead to bowel obstruction or require further surgery.
- Infections like C. diff.
- The need for prolonged antibiotics and nutritional support.
- The impact on quality of life and extended time off work during recovery.

5. Practical tips from others:
- Mentally prepare for a potentially long and uneven recovery, even if the outcome is positive.
- Ask detailed questions about the type of procedure (open vs. robotic), the necessity of a protective ileostomy, expected hospital stay, and post-reversal bowel management.
- Stay connected with others going through similar surgeries for emotional support and shared experiences.