This topic is about someone considering a colostomy reversal after a CT scan showed no signs of cancer recurrence but did reveal multiple hernias. The person is dealing with a severely retracted and stenotic stoma, which is causing significant issues, and is now thinking about reversing the ostomy.

Here are some points to consider:

1. The person is unsure about the exact length of the colon that was removed, but there is enough rectum left for reconnection. Only the part of the colon that was scarred by radiation near the bladder was removed. Initially, the colostomy was meant to be temporary, but it became permanent when chemotherapy was added. Now, two doctors have said that a reversal is possible, and a third opinion is scheduled soon.

2. The main issues being faced are multiple hernias, a retracted and stenotic stoma, and ongoing skin problems.

3. It is important to find out how much of the sigmoid colon remains, as this will greatly affect stool consistency, storage capacity, frequency, and continence after the reversal. Reading the surgical report and asking the surgeon for exact measurements can provide clarity.

4. Understanding the functions of the sigmoid colon, such as storage, water absorption, stool formation, peristalsis, and defecation control, can help in assessing potential changes in quality of life if a large portion is missing.

5. It is crucial to discuss hernia management plans. Clarify whether hernia repair will be done during the same operation or separately, who will perform it, whether mesh will be used, and the risks of infection.

6. Personal experiences from others can be insightful:
- One person with only 4 inches of sigmoid left chose not to have a reversal due to concerns about loose output and continence.
- Another person who had their entire sigmoid removed had the parastomal hernia repaired during the reversal and experienced a quick and smooth return to normal bowel function.

7. Gathering all the facts, asking many questions, and weighing the potential benefits against the risks is encouraged. Good results are possible for some patients.