This topic is about the journey of recovering from a Hartmann’s reversal surgery combined with an incisional-hernia repair using synthetic mesh. It covers the challenges faced during recovery, such as wound exudate management, concerns about the mesh, and the milestones achieved along the way. Here are some key points and advice shared by others who have been through similar experiences:

- **Surgery and Early Recovery**: The surgery took place on November 15, 2011. Initially, there was significant abdominal distension and wound dehiscence, leading to the release of about 3 pints of exudate. By December 12, the patient was on antibiotics and receiving daily visits from a community nurse.

- **Wound Care**: The wound was managed with loose packing using Aquacel, and a stoma pouch was used to collect the fluid. The exudate volume started at around 200 ml per day and decreased to 83 ml per day by late December. The goal was to reduce it to 50 ml per day before removing the pouch.

- **Bowel Function**: Muscle tone in the bowel gradually returned, allowing the patient to hold stool for about an hour. Stools were solid, and there were no accidents, enabling the first social outing six weeks post-surgery.

- **Outlook and Gratitude**: The patient expressed gratitude for the life-saving stoma and was pleased with the progress of the reversal, aiming to stay infection-free.

- **Exudate Details and Concerns**: A detailed record of daily exudate was kept, with volumes ranging from 130 ml to 45 ml. The fluid was described as having a "turkey-gravy" consistency and color, but it was odor-free. Key concerns included whether the exudate was due to mesh rejection and the potential need for mesh replacement with pig skin.

- **Current Status and Concerns**: By early January, the patient was still using a pouch with an output of about 40 ml per day. After over-exerting, there was a concern about internal stitches giving way, leading to sharp pain and the need for an abdominal binder and strong pain relief. There was anxiety about the possibility of mesh contraction and the end of sick pay in April.

- **Diet and Crohn’s Management**: A near fiber-free diet was helping manage a Crohn’s flare, with no bloating or excessive gas.

Advice and insights from others include:

1. **Rest and Activity**: Avoid over-exertion as it can lead to setbacks. Wearing an abdominal binder and avoiding bending or lifting until healing is confirmed is recommended.

2. **When to Contact the Surgeon**: If there is a sudden increase in pain or suspicion of torn sutures, seek an early review. Prepare a list of questions for the surgeon to ensure clear answers.

3. **Mesh vs. Pig-Skin Graft**: While allergic reactions to synthetic mesh are uncommon, porcine grafts are an alternative. Discuss the pros and cons with the surgeon.

4. **Wound Management and Exudate**: Continue measuring exudate meticulously. A decrease in output is a positive sign. Decisions on discontinuing the pouch depend on sustained low volumes and professional assessment.

5. **Psychological Support**: Sharing detailed updates can be helpful for others awaiting similar procedures. Staying positive and sharing progress is seen as inspirational.

6. **General Encouragement**: Many send their best wishes and emphasize that while setbacks are common, the overall recovery trajectory is promising.