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Jul 01, 2013

Preparing for Takedown Surgery - Nervous but Excited

This topic is about someone preparing for ileostomy takedown surgery, which is a procedure to reverse an ileostomy. The person is feeling a mix of excitement and nervousness about the surgery. They have been living with a stoma for seven months, which has allowed their intestines to heal but has also brought some challenges. Here are some key points and advice shared in the discussion:

- The person has experienced constant, severe back pain from sleeping on a collapsed disk while trying to protect the pouch, as well as frequent nighttime leakage and poor sleep.

- They have been reading advice on life after the takedown, especially regarding diet and fiber supplements, and feel more prepared thanks to shared experiences from others.

- The surgery was done laparoscopically, and the stoma site was left open to heal from the inside out. They experienced severe abdominal pain post-operation, which was relieved after reopening and draining the wound.

- Current health issues include fever, high blood pressure, low potassium, and episodes of dry heaving or vomiting. They have managed to have their first bowel movements in seven months with small meals like farina and pudding.

- They hope to be discharged once their fever drops and potassium levels stabilize, with a home care nurse to help manage the open wound.

- They are looking forward to sleeping on their side again, spending time with their spouse, and finding comfort with their large dog.

- They express gratitude for their disability pension after 27 years in civil service and offer support to new ostomates, remembering the early challenges of finding the right pouching system.

Advice and insights from others include:

1. General encouragement to stay positive, rest, and heal, with reminders to keep in touch with supportive communities.

2. If the reversal is postponed due to issues like an inflamed colon, acceptance and strong family support are crucial. Living permanently with a stoma can still be manageable.

3. Leaving surgical wounds open to heal from the inside out is common, and it requires a long healing timeline with diligent wound care, either through a visiting nurse or self-care.

4. A tip for scheduling surgeries: if possible, avoid July and August, as new interns and residents may increase the chances of oversight. January or May might offer more experienced hospital teams.
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