Topic Explanation

The discussion centers around a forum participant considering the possibility of intestinal reconnection after having a colostomy. The participant's current colostomy is problematic due to its sunken and small nature, causing skin issues. A colorectal surgeon suggested the potential for reconnection, bypassing scarred areas from previous radiation treatment, which was initially thought impossible. The procedure would be complex, possibly robotic, and if unsuccessful, would result in a better-placed permanent stoma. The participant is contemplating the risks and benefits, including the possibility of a temporary ileostomy to allow healing. They are seeking advice and experiences from others who might have undergone similar procedures.

Advice and Insights

1. Seek Multiple Opinions:
- Consult with other surgeons to gather multiple perspectives on the feasibility and risks of the procedure.
- Consider getting a third opinion if the current opinions are significantly different.

2. Conduct Thorough Research:
- Research the surgery, including outcomes, risks, and infection rates, to make an informed decision.
- Weigh the pros and cons of the procedure and consider the potential for a better stoma placement if reconnection is not possible.

3. Consider the Condition of the Colon and Rectal Muscles:
- Evaluate how much healthy colon remains and the potential for issues like diarrhea and poor quality of life post-surgery.
- Consider the atrophy of rectal muscles due to disuse and how long the stoma has been in place.

4. Evaluate the Risks of Complex Surgery:
- Be cautious of long, complex surgeries and the possibility of ending up with an ileostomy, which some find more limiting than a colostomy.
- Discuss the risk of failure and the potential need for a permanent stoma with the surgeons.

5. Personal Experiences and Considerations:
- Some participants shared personal experiences of failed reconnections and the decision to revert to an ileostomy.
- Consider the impact of radiation damage on the colon and the potential complications it may introduce.

6. Practical Considerations:
- If opting for a stoma relocation, be aware it might reduce the chance of future colostomy reversal.
- Address issues with the current stoma placement, especially if it is in a skin fold, which can cause leakage and skin irritation.

7. Prepare for Consultations:
- Write down questions and concerns to discuss with surgeons to ensure