This topic is about a person who had an emergency surgery called Hartman's procedure due to diverticulitis. This surgery involved creating a colostomy and removing a portion of the sigmoid colon. Now, as they consider reversing the procedure, they are faced with a decision: whether to remove the entire remaining sigmoid colon to reduce the risk of diverticulitis recurring. They are seeking advice on whether this recommendation is common.

Here are some helpful insights and advice from the community:

1. Consider getting more opinions. It's suggested to seek at least one more opinion from another colorectal surgeon or a gastroenterologist. This can help ensure that all options and risks are fully understood.

2. Understand the rationale for full sigmoidectomy. Removing the entire sigmoid colon can significantly reduce or even eliminate the chance of diverticulitis coming back. Patients generally do not miss this part of the colon. If the issue were cancer, removing the entire sigmoid would also be standard practice to ensure a thorough resection.

3. Trust but verify the expertise of colorectal surgeons. While colorectal surgeons often have valid reasons for recommending a more extensive resection, it's important to confirm these reasons. Avoid removing the rectum unless it's absolutely necessary.

4. Living with a changed anatomy is manageable. One person shared that if an ileostomy ever became necessary, it is manageable. They also suggested using Loperamide (Imodium) to help slow down output if needed.

5. Keep researching and discussing options. It's encouraged to continue learning and having conversations with both professionals and other patients. This will help in making the decision that best suits the individual's situation.