Topic Explanation:
The discussion centers around a person contemplating a stoma reversal after having a stoma due to perforated diverticulitis. The individual is managing well with the stoma but is concerned about potential complications from the reversal. They are also worried about the risk of cancer associated with living with a rectal stump. The person is seeking advice and experiences from others who have undergone a reversal, particularly from Hartmann's procedure, and is considering the impact of the decision on their future plans, including retirement.

Advice and Insights:

1. Decision-Making:
- The decision to undergo a reversal is highly personal and should consider individual circumstances, including potential complications and personal comfort with the current stoma.
- Consulting with surgeons and assessing one's health status, including ASA scores and comorbidities, can help determine if one is a strong candidate for reversal.

2. Experiences with Reversal:
- Some individuals have opted to keep their stoma due to concerns about complications such as incontinence and pain returning after reversal.
- Others have experienced significant complications post-reversal, such as rapid bowel transit and frequent toilet visits, leading to regret over the decision to reverse.
- A few have had successful reversals with no regrets, indicating that outcomes can vary widely.

3. Living with a Rectal Stump:
- The risk of cancer with a rectal stump is considered low, with some studies indicating a pooled incidence of rectal carcinoma at 1.3%.
- Regular monitoring, such as scopes or MRI scans, can help manage any potential risks associated with a rectal stump.

4. Surgical and Health Considerations:
- The Hartmann's reversal is a major operation with a high rate of complications, including surgical site infections, ileus, and anastomotic leaks.
- Younger patients and those without comorbidities have higher success rates for reversal.
- The presence of multiple comorbidities increases the risk of postoperative complications.

5. Practical Tips:
- Understanding the type of colostomy and the extent of colon removal can help predict post-reversal outcomes, such as stool consistency and gas management.
- Exploring different ostomy products, such as closed-end bags or additional adhesives, can improve the management of a stoma if one decides against reversal.

6. Additional Resources:
- Individuals are encouraged to research and discuss with healthcare providers to make an informed decision.
- Online resources, such as risk calculators, can