This topic revolves around the possibility of undergoing an ostomy reversal for someone who has had multiple mesh hernia repairs and a herniated ostomy. The person considering this procedure is 70 years old and has a cecostomy in the upper-right abdomen, which has been in place for over six years. They have a history of a sigmoid colostomy that was reversed after three months due to complications from diverticulitis and peritonitis, as well as four mesh hernia repairs. A surgeon has suggested another reversal, estimating a low risk of infection, but the person is concerned about the safety and success of such a procedure, especially with the existing hernia repairs and the herniated ostomy. They are also curious about the possibility of combining the reversal with a cosmetic procedure and are seeking advice and experiences from others.

Here are some insights and advice shared by others:

1. If there is no urgent medical reason, some suggest avoiding the surgery to prevent unnecessary risks.
2. Consider proceeding only if:
- The herniated ostomy poses a significant danger.
- The surgeon is highly skilled and experienced in handling complex surgeries involving mesh.
3. Being 70 years old does not automatically rule out surgery, but it can introduce additional challenges, such as:
- Potential rectal leakage due to weakened sphincter muscles.
- Minor ongoing inflammation and irritation, even if no major infection occurs.
4. One person shared their experience of choosing not to undergo reversal in 2010 due to similar concerns and has been content with that decision.
5. Important questions to discuss with the surgeon include:
- How the existing mesh repairs might affect the new procedure.
- The expected duration of the hospital stay, overall recovery time, and any travel restrictions, especially considering a planned trip to Madagascar.
- Whether it is feasible to combine the reversal, hernia repair, and a cosmetic "tummy tuck" in one operation.