The topic at hand is about considering whether to undergo a Hartmann’s reversal surgery after having radiation and experiencing sepsis. This decision is particularly challenging because, while the bowel appears normal, there is severe inflammation and scarring in the rectal stump, which could lead to poor bowel function after the reversal. Here are some insights and advice from others who have faced similar decisions:

1. Personal risk-versus-benefit analysis:
- Some people choose to keep their stoma because it works well for them, and a reversal might not improve their quality of life. It could even worsen existing issues.
- Think about which complications you can handle and which you cannot, and make your decision based on that.

2. Seek multiple professional opinions:
- Talk to at least two surgeons, as well as your oncologist and radiologist. Each will have a different perspective on your situation. Compare their reasoning, not just their conclusions.

3. Understand specific surgical risks before deciding:
- Use resources like the American College of Surgeons’ online Risk Calculator to understand the probabilities of complications, the need for re-operation, and other factors.

4. Real-world experiences with complications:
- One person, who had radiation-induced perforation and repeated peritonitis, was advised against reversal because their remaining colon was fragile. They found that accepting the ostomy helped them avoid more major surgeries and maintain their quality of life.

5. General decision-making tips:
- Consider your age, how well you can handle surgery, the chance of needing another stoma if the reversal doesn’t work, and how well you currently manage your stoma.
- Be aware that bowel dysfunction, like high frequency, urgency, and leakage, can last beyond six months, especially if you’ve had pelvic radiation and scarring.