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Apr 20, 2024

Reversal Surgery Experiences and Advice

Colostomy reversal surgery is a procedure that aims to restore the normal function of the bowel after a temporary colostomy. If you're considering or preparing for this surgery, here are some insights and advice based on shared experiences:

- **Bowel Function Post-Reversal**: Many people wonder how their bowels will behave immediately and in the long term after the reversal. Experiences vary, but some report returning to normal or near-normal bowel habits within a few weeks.

- **Impact of Current Stoma Condition**: The condition of your stoma before the reversal might influence how your bowels function afterward, but this can differ from person to person.

- **Recovery and Quality of Life**: Recovery can be different for everyone. Some people experience a quick return to their usual activities, while others may take longer. Quality of life often improves, but it's important to be prepared for some initial challenges.

- **Duration with a Colostomy Bag**: People have lived with a colostomy bag for varying lengths of time before considering a reversal. In this case, it's been about four months.

- **Surgery Timing and Personal Considerations**: The surgery date might coincide with personal events, such as a birthday, which can influence the decision to proceed.

- **Abdominal Appearance**: Mild abdominal swelling is common, and while the cosmetic outcome might not be a major concern, some wonder if their abdomen will return to its previous appearance.

- **Surgical Risks**: Be aware of potential risks like anastomotic leaks and bowel malfunction. Outcomes can vary widely, and success isn't guaranteed.

- **Health and Surgeon Experience**: Your age, health conditions, and the surgeon's experience can affect the success of the surgery. It's important to discuss these factors with your surgeon.

- **Positive Recovery Stories**: Many have shared positive recovery experiences, especially when the reversal is planned and done laparoscopically.

- **Early Bowel Issues**: Initially, you might experience frequent or urgent bowel movements, loose stools, and gas. Water-soluble fiber supplements can help manage these symptoms.

- **Skin and Hygiene**: Frequent wiping can cause irritation, so using a zinc-oxide barrier cream can be helpful. Some people also use disposable underwear for added security.

- **Wound Care**: The old stoma site usually heals over several weeks, and daily dressing changes are straightforward. Be mindful of potential hernias.

- **Coughing and Respiratory Care**: Avoid coughing after surgery, as it can contribute to hernia formation.

- **Hospital Stay Preparation**: Consider requesting a bedside commode if mobility is an issue, as early accidents can occur.

- **Mental Preparation**: Write down all your questions for your surgical consult. Trust in your surgeon and having clear information can help ease fears.

- **Elective Nature of Reversal**: Remember, reversal is elective. Some choose to keep their ostomy if they find it reliable and prefer to avoid further surgery.

These insights can help you prepare for the journey of colostomy reversal surgery, balancing optimism with caution.
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