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Dec 16, 2023

Hartmann's Reversal Experiences and Advice

Topic Explanation:
The discussion centers around experiences and advice related to Hartmann's reversal surgery, a procedure to reconnect the colon after a Hartmann's procedure, which is often performed due to conditions like diverticulitis. The original poster had an emergency Hartmann's procedure and is now considering a reversal, feeling anxious due to potential complications as explained by their surgeon. They seek insights from others who have undergone the reversal, particularly those who have had successful outcomes.

Advice and Insights:

1. Surgeon Communication and Decision-Making:
- It's important to have a surgeon who communicates openly about the procedure and potential complications.
- Ensure you feel comfortable with your surgeon and their experience with the procedure.

2. Reversal Experiences:
- Many have undergone successful reversals, with recovery times varying. Some reported feeling back to normal within weeks.
- The reversal is often less traumatic than the initial emergency surgery.
- Robotic-assisted reversals are becoming more common and may offer a smoother recovery.

3. Pre-Operative Considerations:
- A virtual colonoscopy is often performed to ensure the colon is intact and free of issues like diverticulitis before proceeding with the reversal.
- Some patients may have polyps discovered during pre-op assessments, which could affect the timing of the reversal.

4. Post-Operative Recovery:
- Recovery experiences vary, but many report minimal pain and a relatively quick return to normal activities.
- Some patients may have a nasal/gastro tube post-reversal, but typically for a short duration.
- Staples may be used in the procedure, and they are usually removed about two weeks post-op.

5. Emotional and Psychological Aspects:
- The thought of returning to surgery can be daunting, especially after a traumatic emergency procedure.
- Focusing on positive outcomes and successful stories from others can be helpful.
- It's common to feel nervous, but many find the reversal to be a positive step towards returning to normal life.

6. Practical Considerations:
- Plan for recovery time, especially if you have upcoming commitments or travel plans.
- Be prepared for potential changes in the surgical plan, such as switching from robotic to open surgery if complications arise.

7. Community Support:
- Engaging with others who have undergone similar procedures can provide reassurance and practical advice.
- Sharing experiences and updates can be beneficial for both the individual undergoing the procedure and others in the community.
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