Topic Explanation:
The discussion centers around the decision to undergo a Hartmann's reversal after having a colostomy due to a sigmoid colon rupture from undiagnosed diverticulitis. The original poster (OP) describes their medical history, including emergency surgeries and complications such as septic peritonitis, an abscess, and a bowel obstruction. They have adjusted to living with a colostomy but are apprehensive about the reversal surgery due to potential risks like urgency, leakage, and ongoing pain. The OP seeks advice on the pros and cons of the reversal and whether returning to "normal" is possible given the scar tissue and adhesions.

Advice and Insights:
1. There is no returning to the exact state before the initial surgery. Even with a successful reversal, things will be different, and one must weigh the benefits against the risks personally.

2. Consulting multiple surgeons for second opinions can be beneficial, especially to assess the extent of scar tissue, which can complicate the reversal. Tests like pelvic MRI and PET CT scans may provide more information.

3. If you are managing well with the stoma and prefer to avoid further surgery, it is possible to live a near-normal life with a colostomy.

4. The decision to undergo a reversal is highly personal and should be based on one's own judgment rather than external influences. A positive attitude towards the decision made is important.

5. Post-reversal, bowel habits may change, and urgency can be an issue initially, but it often improves over time. The concept of a "new normal" is emphasized, where adjustments are made to the changes in bowel function.

6. It is important to gather as much information and input from others who have undergone similar experiences to make an informed decision.