This topic is about preparing for a complex colostomy reversal surgery, especially when there are complications like severe infections and scar tissue. The person facing this surgery is understandably anxious and is seeking advice on what to expect and how to prepare. Here are some helpful insights and advice shared by others who have been through similar experiences:

1. **Understanding the Surgery**:
- The reversal can be more challenging than the initial ostomy surgery, especially with complications like scar tissue and previous infections.
- The surgery will involve a vertical mid-line incision, which is different from the previous bikini-line cut.

2. **Scar Care**:
- Use Mederma gel to reduce itching and improve the appearance of scars.
- Massage pure Vitamin E oil into the healed incision to help with healing.
- Lavender oil or cocoa butter can also be beneficial for softening and lightening scars.
- Consider using Aquacel antimicrobial dressings to protect the wound and prevent infection.

3. **Closing the Incision**:
- Surgeons may use internal dissolvable sutures, external staples, surgical glue, or a combination of these methods. Steri-Strips might also be used.
- Re-using the same mid-line scar for multiple surgeries is common and usually heals well.

4. **Managing Adhesions and Surgical Approach**:
- Extensive scar tissue often necessitates an open surgery rather than a laparoscopic one.
- Sometimes, a temporary ileostomy might be needed, but its takedown is usually straightforward.
- It's important to choose a surgeon experienced in complex abdominal repairs.

5. **Physical Preparation**:
- Engage in regular walking and light weight-training to improve fitness, which can aid in recovery.
- Maintaining a healthy weight and a strong core can make the surgery and healing process easier.

6. **Post-Operative Experiences**:
- Some people experience quick and easy recoveries, while others face more challenges.
- Hospital discharge typically occurs once bowel function returns.
- Be aware that the belly button might be altered or lost; discuss this with your surgeon if it's a concern.
- Staple removal can be done at home with a sterile kit, but many prefer to have it done by medical staff.

7. **Emotional and Lifestyle Considerations**:
- Some individuals find a permanent ostomy preferable due to the reliability and freedom it offers.
- Others prefer reversal for personal reasons. The decision should consider surgical risks, expected outcomes, and quality of life.

These insights aim to provide a clearer picture of what to expect and how to prepare for a complex colostomy reversal, helping to ease some of the anxiety surrounding the procedure.