Topic Explanation

The discussion centers around a person who has had a colostomy for 2-1/2 years due to diverticulitis and kidney failure, which led to a kidney transplant. Now, they are considering a colostomy reversal and are seeking advice from others who have undergone similar procedures. They are also interested in experiences with hernia repair and stoma revision, as they have a peristomal hernia and a flattened stoma causing occasional leaks. The individual is looking for insights on the success of reversal surgeries, the establishment of regular bowel habits post-reversal, and the recovery process from hernia repair or stoma revision.

Advice and Insights

1. Hernia Repair and Stoma Revision:
- Hernia repair can be straightforward and may be done alongside other surgeries. It's advisable to get a second opinion and bring imaging to avoid repeat procedures.
- Parastomal hernias are often only repaired if they cause significant problems, but this can vary by surgeon.

2. Colostomy Reversal:
- Reversals with colostomies generally have a better chance of success if more of the colon is intact. It's important to consider how much colon remains and consult with a surgeon.
- A successful reversal can lead to a quick return to normal bathroom habits.
- It's crucial to calculate surgical risks, especially for those with additional health concerns. A surgical risk calculator can help assess the likelihood of complications.

3. General Considerations:
- Always seek a second opinion and consider the advice of multiple professionals.
- For those who are immunocompromised, such as transplant recipients, the risk of infection is a significant concern with reversal surgery.
- Personal comfort with living with a colostomy bag varies, and some find it manageable and preferable to the risks of additional surgery.