The topic is about the healing process after a colostomy reversal, specifically when the stoma-site wound is left open to heal from the inside out. This method can seem unusual, so the person is seeking advice and reassurance from others who have gone through a similar experience. Here are some helpful insights and advice shared by others:

1. Healing approach – inside-out, no closure:
- It's common practice to leave the stoma-site wound open to allow bacteria to drain and reduce the risk of infection. Although the appearance might be concerning, this is a normal part of the healing process, and the wound will gradually fill in and close on its own.

2. Gauze packing protocol:
- Many people have used sterile gauze, often moistened with normal saline, to pack the wound initially. This is typically done 2–3 times a day and then less frequently as the drainage decreases.
- The purpose of packing is to draw out fluid and infection while supporting the formation of healthy tissue. Once the gauze stops drawing fluid, packing can be stopped, and the wound can simply be covered.

3. Saline-moistened removal tips:
- Before removing the packed gauze, soak it thoroughly with saline. This helps to slowly and gently remove it with forceps, minimizing pain and avoiding damage to new tissue.

4. Transition to simple dressings:
- When packing is no longer necessary, a saline-moistened gauze pad can be placed over the wound and secured with a bandage or tape. As healing progresses, gradually increase exposure to air.

5. Wound-vac (negative-pressure therapy):
- Consider asking an ostomy nurse about using a portable wound-vac, as it might speed up the healing process. Some have found it helpful for similar open wounds.

6. Expected timeline:
- Complete closure of the wound can take several weeks. The hole might appear unchanged for a while but can suddenly contract. Patience and regular dressing changes are important.

7. Skin-care around the site:
- Be mindful that adhesive from dressings can irritate the skin around the stoma. Monitor the area and change tapes or dressings gently to avoid irritation.

8. Overall reassurance:
- Many people have shared that the wound eventually heals very well, with the scar becoming barely noticeable. Staying patient and following medical guidance is encouraged.