Topic Explanation:

The discussion centers around the possibility of reversing a colostomy after a Hartmann's procedure, particularly when the patient has a very short rectal stump remaining. The original poster, Sally, has been living with a stoma for over two years following surgery for aggressive rectal cancer. She is struggling to accept her stoma and is seeking advice on whether a reversal is feasible, given her medical history and the limited rectal stump.

Advice and Insights:

1. Possibility of Reversal:
- Reversal after a Hartmann's procedure is sometimes possible but not always, especially with a short rectal stump and aggressive cancer history.
- The longer the time since the initial surgery, the less likely a successful reversal becomes.

2. Surgeon's Perspective:
- If a surgeon is hesitant or advises against a reversal, it may indicate that the procedure is unlikely to be successful.
- Consulting with a colorectal surgeon for a detailed explanation of the likelihood of success is recommended.

3. Potential Complications:
- A failed reversal could lead to additional surgeries and possibly an ileostomy, which can be more challenging to manage.
- Each surgery increases the risk of adhesions and weakens the abdominal wall, raising the likelihood of a parastomal hernia.

4. Functional Considerations:
- With a significant portion of the rectum removed, there would be reduced storage capacity, leading to frequent bathroom trips.
- Loss of colon and rectum can result in watery output, causing frequent and urgent bathroom visits.

5. Personal Experiences:
- Some individuals have had unsuccessful reversals and found living with a stoma more manageable in the long term.
- Acceptance of the stoma as a part of life and a sign of survival can be a positive perspective.

6. Next Steps:
- Sally plans to discuss further with her surgeon, considering her past hernia repair and its impact on her view of the stoma.