This topic is about considering a colostomy reversal after a Hartmann procedure, which was performed due to acute diverticulitis. Andrés, a 33-year-old, had this procedure three months ago, resulting in a closed colostomy. With only a small section of his bowel removed and being otherwise healthy, his surgeon believes he has a good chance for a successful reversal. Andrés is seeking advice on whether going through with the reversal is the right choice for him.

Here are some insights and advice shared by others:

1. Many people believe that given Andrés’s limited bowel resection, his good health, and the surgeon’s positive outlook, he seems to be a great candidate for reversal. It's important that he feels fully informed and comfortable with his decision.

2. One person shared their personal experience, saying that after having their colostomy bag for 20 months, the reversal significantly improved their quality of life, especially by eliminating concerns about leaks. They noted that patience is important as the body adjusts.

3. Another individual, who also had a Hartmann procedure for diverticulitis, described their successful reversal surgery:
- The surgery lasted 5½ hours and took place six months after the initial procedure.
- They stayed in the hospital for three nights and managed pain with gabapentin and Tylenol.
- Bowel function returned early during the hospital stay, though they experienced some rough days related to diet.
- A daily probiotic, recommended by their surgeon, helped regulate bowel movements.
- They needed a wound-vac for the stoma site, which was deeper than expected, and it was removed after four weeks to aid healing.
- They were advised not to lift anything heavier than a gallon of milk but were otherwise cleared to travel for work.

4. Timing is important, as surgeons often wait at least six months after a Hartmann procedure to ensure full healing before considering a reversal. Scheduling might delay the surgery even further.

5. After reversal, bowel habits can include having 3 to 6 bowel movements per day. A high-fiber diet and strong probiotics can help stabilize this.

6. Practical tips for after the reversal include:
- Keeping disposable undergarments handy while bowel habits normalize.
- Installing a home bidet and carrying a portable one to reduce irritation from frequent wiping.
- Being patient and making gradual dietary adjustments to aid in a smoother recovery.