Topic Explanation
The discussion centers around a forum member considering a stoma reversal after receiving CT results indicating no recurrence of cancer. The CT scan also revealed a parastomal hernia and multiple midline ventral hernias, which are causing discomfort. The member is contemplating the reversal of their colostomy, initially deemed temporary, but delayed due to cancer treatment. They are consulting multiple doctors to evaluate the possibility of reversal, considering the complications from hernias and a problematic stoma.
Advice and Insights
1. Understanding the Sigmoid Colon's Role:
- The sigmoid colon stores fecal material, absorbs water and electrolytes, forms feces, and controls defecation.
- It is crucial for stool formation and predictable bowel movements.
- The average length of the sigmoid colon is 16 inches, and its length post-surgery can impact life quality after reversal.
2. Personal Experiences and Considerations:
- One member shared that over 12 inches of their sigmoid colon was removed, leaving about 4 inches. They refused reversal due to concerns about stool consistency and bowel movement control.
- Another member had their sigmoid colon removed and experienced a successful reversal with hernia repair, indicating that positive outcomes are possible.
3. Surgical and Post-Surgical Considerations:
- It is important to read the surgical report and ask questions about hernia repair, including the type of mesh repair and infection risks.
- Coordination between gastroenterologists and general surgeons may be necessary for reversal and hernia repair.
4. Encouragement and Support:
- Members expressed amazement at the body's functions and the importance of understanding organ roles, especially when considering surgical options.
- Sharing personal experiences can provide hope and insight into potential outcomes.
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