Preparing for a Hartmann’s colostomy reversal can be both exciting and nerve-wracking. If you have a surgery date coming up, like August 1st, you might be looking for some practical advice and insights to help you through the process. Here’s a collection of tips and what you can expect before, during, and after the surgery:

- Hospital Stay & Discharge
1. Robotic or laparoscopic reversals often mean a 2-3 day hospital stay, while open surgery might require 5-6 days.
2. You’ll likely be discharged once you can pass gas or have a bowel movement, manage pain with oral meds, and walk around.
3. An early-morning surgery slot is often preferred, especially after a challenging bowel prep.

- Pain Control & Wound Care
1. Many people find they only need a few opioid tablets before switching to Tylenol or Advil. If opioids cause constipation, consider a stool softener like docusate.
2. Keep the old stoma wound clean. Some people use gauze, while others follow specific packing and irrigation instructions from their surgeon. Silver-impregnated gauze is a popular choice.
3. A sturdy abdominal binder can provide support, reduce pain, and help prevent hernias. Use it when coughing, sneezing, lifting, or hiking.

- Bowel Prep & Supplies
1. If you’re doing a full-volume prep, ask for an extra-large ostomy pouch with a drain tap and tubing to connect to a bedside bag, which can save you from frequent emptying.
2. Pre-op medications often include two antibiotics and anti-nausea agents, with other prescriptions depending on the prep.

- First Weeks After Reversal
1. It’s normal to experience loud abdominal gurgling and some rectal bleeding initially.
2. Walking early and often can help speed up gut function and recovery.
3. Chewing gum can relieve gas pain, and frequent showers with warm water can ease anal discomfort.
4. Protect your perianal skin with products like Desitin, Sudocrem, Tucks witch-hazel pads, or a bidet. Baby wipes are gentler than toilet paper, and disposable briefs can be reassuring.

- Diet Progression
1. Start with small, low-residue or low-fiber meals for 4-6 weeks, then gradually reintroduce fiber.
2. If dairy causes issues, consider non-dairy or plant-based protein supplements.
3. For constipation, try Benefiber or Miralax; for diarrhea, avoid these.
4. After a few months, most people return to a normal diet with 1-2 bowel movements daily.

- Hernia Considerations
1. Parastomal hernias can sometimes be repaired during the reversal.
2. To minimize the risk of new hernias, use a binder, avoid heavy lifting, and manage coughing and constipation.
3. Large hernias might need more extensive surgery, so consider a second opinion if suggested.

- Comfort & Entertainment in Hospital
1. Pack extra pajama bottoms, personal soap, a phone or iPad with music or e-books, earphones, gum, and an abdominal binder.
2. A recliner or adjustable chair at home can be helpful during the first week.
3. Let family and friends assist you, and use recovery time to relax with movies or games.

- General Encouragement
1. Many find reversal surgery easier than the original Hartmann’s procedure.
2. Maintaining a positive mindset, asking questions, and being gentle with yourself are key. Remember to walk often, be kind to yourself, and celebrate milestones like your first post-op bowel movement.