This topic is about a positive experience with ostomy reversal surgery after having undergone three abdominal surgeries. The person sharing their story hopes to provide a more balanced view, as they had encountered many negative reports before their own procedure. Here are some key points and advice from their experience:
- A 57-year-old man had a colostomy that was later moved to the small intestine due to a colon collapse, resulting in three abdominal surgeries in total. His reversal surgery in March 2023 was the easiest compared to the previous ones.
- He was able to walk back to his hospital bed unassisted immediately after the operation.
- Initially, he experienced very frequent bowel movements for about three days, but his bowel function quickly returned to normal and even improved beyond his pre-ostomy state.
- Six months after the surgery, he reports that everything is outstanding, sharing his story to offer a positive perspective on ostomy reversal.
Additional insights and advice include:
1. The remaining anatomy plays a crucial role. People with no colon, only a small intestine plus rectum/anus, often face higher stool frequency and continence challenges compared to those who retain part of the colon.
2. Continence outlook is better if a good length of rectum and a strong anal sphincter are present. Pelvic-floor conditioning before reversal is recommended.
3. Expect a learning curve in the early weeks as you adjust to new sensations and timing. Having a home kit with creams, wipes, pads, barrier films, soft toilet paper, and a moisture-proof mattress cover can ease the transition.
4. Be aware that about 50% of abdominal surgeries can trigger an ileus. Recognize the signs such as bloating, no gas, and nausea, and seek prompt medical attention if it occurs.
5. Staying active and having a purpose, like caring for others, can help overcome post-surgery fatigue or low mood.
6. Age alone, even in the mid-70s, should not rule out reversal if overall health is good. Mindset and physical conditioning are important factors.
7. Some colostomy users manage to "train" their stoma by eating on a strict schedule and emptying beforehand to spend time without a pouch. However, this is not recommended for ileostomies due to unpredictable output.
8. Initial high frequency and occasional incontinence are common after reversal but often improve significantly within days to weeks.
9. Hearing success stories can reduce fear. Several people awaiting reversal expressed gratitude and renewed optimism after reading this positive account.
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