Stoma Reversal Decision

The topic discusses the decision-making process regarding stoma reversal surgery. The original poster had surgery in December 2024 and is considering whether to undergo a reversal. They consulted two surgeons: the first was confident about the reversal but did not discuss risks, while the second provided a thorough examination and highlighted the risks, especially given the poster's age of 83. The second surgeon also noted that the poster did not have a hernia, which was a primary reason for considering the reversal. The poster is managing daily life with a stoma but finds changing the bag a chore and struggles with finding suitable clothing. They emphasize the importance of seeking multiple medical opinions.

Advice and Insights

1. Frequency of Pouch Changes:
- Daily pouch changes are generally unnecessary unless there is a specific issue. It may indicate a problem with the seal or the products being used. Exploring different products and combinations could improve the situation.

2. Decision Against Reversal:
- Some individuals choose not to undergo reversal due to the risks of complications and the possibility of needing another colostomy if healing does not occur properly. Maintaining a routine with the stoma can lead to a satisfactory quality of life without additional surgeries.

3. Product Recommendations:
- Using a two-piece system, such as the Hollister system, can reduce the frequency of changes. Bags can be changed every 2-3 days, and wafers every 10 days, to prevent skin damage.

4. Considerations for Reversal:
- Age and previous medical history, such as multiple surgeries or cancer treatments, can influence the decision against reversal. Some patients find that keeping the ostomy leads to a better quality of life than risking complications from reversal surgery.

5. Research and Consultation:
- Conducting thorough research and consulting with healthcare professionals can provide clarity. Understanding the function and condition of the remaining colon is crucial in making an informed decision.

6. Ostomy Supplies and Support:
- Contacting ostomy supply companies for free samples and advice from ostomy nurses can help in finding the right products and improving life with an ostomy.

7. Personal Experiences:
- Some individuals have experienced failed reversals or were unable to have a reversal due to insufficient remaining intestine. These experiences highlight the importance of realistic expectations and the potential for a permanent ostomy.