Reversal Surgery Soon And Consultation Tomorrow

Hi everyone,

I have my J-pouch surgery on November 23, so about six weeks from now. Tomorrow is my final consultation with my surgeon before the surgery, but because of uni I haven’t given myself any time to think about the surgery very much. Is there anything that you wish you knew or asked your surgeon before your reversal? I can’t think of any specific questions for him at the moment. I know of the complications, like pouchitis occuring in about 20-25% of people and the risk of cancer in the cuff of rectum that is left over. 

Thanks for any input.

Hamish

0 Replies:
Reversal Surgery Soon And Consultation Tomorrow

Reversal

hi everyone, 

i had my ileostomy reversal just on Tuesday.  The bm’s started today along with all of the associated aggravation.  My question is, when did you start taking either Imodium or Metamucil?

thanks!

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Reversal

Colostomy Reversal After Sigmoid Colon Removal

hi guys

i am new to this as just recently got out of the hospital after over a months stay.  I had a hysterectomy and the surgeon punctured my jejunum.  I had my sigmoid colon removed as it was destroyed while sitting in half a gallon of sepsis.  Also removed was a portion of the jejunum. 

Is there anyone out there with experience in a reversal with these pieces missing?  The doctor said I needed to wait at least 6 months for a reversal 

thank you!

jen

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Colostomy Reversal After Sigmoid Colon Removal

Hartmanns Reversal

I had a Hartmanns procedure done after a tumour was removed with an abcess behind it. The chemo and radio obliterated the tumour but as there was so much scarring and previous sepsis I had to have a Hartmanns procedure instead of a resection. No more chemo was needed as nothing had spread to the lymph. that was 18 months ago. I was told to wait 18 months before a reversal of the Hartmanns and resection could be considered. Now they said my function would be too poor to do the reversal after having a sigmoidoscopy. A scan done via my stoma a month ago showed my bowel was perfectly normal otherwise.

The reversal is possible but is it worth it? I have no other health probs and am on no medication. The stoma is ok and I do not suffer from sore skin as I look after it well. I am still waiting to see my consultant for the reasoning about poor funtion. From the sigmoidoscopy I had reversal proctitis (inflammation of the rectal stump). The picture did not look pretty. I presume the scarring from previous sepsis, radio and the proctitis may be the reasons. Has anyone else been in this position and actually gone through with the reversal? I know the bowel function will be poor the first 3 to 6 months but does this improve or is it not worth it?

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Hartmanns Reversal

Day Six Post Colostomy Reversal

Well I want to start by thanking this community for all of the information I have read during the past three months.   I had emergency surgery on June 10 for ruptured colon.   Ended up with temp colostomy and hernia.  I just had my reversal surgery and hernia repair on 9/19/17 and I am still in hospital waiting on first BM.  The question I had, I am passing tons of gas and just started soft foods last night…. How long after I start eating will I have first bm?  Also, this surgery was more painful than my emergency surgery in June…. I think because of the hernia repair… Any other folks that have had reversal and hernia repair feel it is a more painful procedure?  Thanks 

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Day Six Post Colostomy Reversal

Diverticulitis, Burst Intestine, Colostomy Reversal

i recently wrote to see if anyone had experience with colostomy reversal. Thank you to those that replied. It was both informative and scary. I didnt mention that I had bouts of diverticulitis for several years that was always treated with antibiotics but in June ’16 I ended up in e.r. And only after several tests did they find the burst and do emergency surgery. I woke up with the colostomy, the big scar and a wound vac. I did have n home care for the wound 3x a week but not much on education of colostomy. I was given the Hollister snap on 2 piece and that’s what I’ve stayed with except I went to a smaller circumference of the plastic snap on ring as it was digging in stomach when I’m in sitting position. I usually wear a huge ace bandage that I call a “wrap” to go around the bag to cover up the disk outline. It’s hard sometimes if there’s output because it’s flattened out, but I have not had any leaks. The only reason I had any idea take down was any worse than first surgery because I had such fear and asked a lot of questions. I am still confused with the whole thing because what if I have the reversal and I get diverticulitis again. I asked if I had dietary restrictions like no nuts, seeds etc. but was told I could eat anything with the colostomy. That was the surgeon PA not a gastroenterologist. I don’t eat a lot of nuts and no popcorn. It is hard to edit this thing so I can only write from this line,I have pretty much eaten everything but Does wanyone know about diet and the nuts seeds thing with an ostomy? much eaten everything 

1 Replies:
Diverticulitis, Burst Intestine, Colostomy Reversal

Ileostomy Reversal

Had my Ileosootmy for 4 months now. Life is getting easier, as well as it can be, but I was told I can have it reversed after a year.

I want to know if anybody else has been through the reversal process, and whetherr they felt it wass an improvement to their everyday life, or wished they had not bothered.

Considering the contents, I was wondering  if this caused problems once they had lost their bag?

Is it the case that if you need to go to the toilet, its a cse of I mut go now in orde to prevent them having an ‘accident’?

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Ileostomy Reversal

Stoma Reversal

Hi All,

Just a quick post to assure those who are in 2 minds about stoma reversal.

I was diagnosed with kidney cancer in June 2016 and succesfully had an operation to remove my left kidney, which was completely infected with cancer.During my operation they uncovered and found further cancer that had spread to my colon and my pancreas which parts of the infected areas were  also removed.It was quite a complicated operation and this lasted for about 7 hours where different surgeons were involved to operate on different parts of my infection.Following my op, I was left with a stoma.Further more i had fistula drains on my front and rear parts of my stomach to remove “unwanted” fluids to drain out of my body. I always wanted a reversal of my stoma as I have a very active and sporty lifestyle but this reversal cannot be performed until my pancreas had completely dried out.Patience was the game!

In Jan 2017 they removed my first drain fistula, then succesfully removed the second one in April 17.

An appointment had been recieved to carry out my reversal and this was done in July 20th 2017.The operation went smoothly and lasted for some 1 1/2 hours. I was discharged from hospital 3 days later where I am making a speedy recovery.I was consulted that bowel surgery is one of the most complex as your body learns to discover that you are no longer carrying a stoma bag.The first 2 days I suffered extreme diarrhoea motions as the bowels recognised and pass motion through the normal channel.

2 weeks on and my bowels have settled and timely motions have set a schedule.Altough a little sore from the  operation as the healing proccess takes place,this was a walkover in comparison to my first operation.

 

The staff at the General were all absolutely brillaint and gave me full support.

I would recommend anybody who are in similar circumstance as me that a reversal is not as daunting as it first seems.

There is a lot of support from staff and Macmillan who have been fantastic to support me through this trauma.I was also re asuured from posts on this website who underwent the same procedures as me.

As they “you are not alone” to fight cancer and this was very comforting to know,just how much help there is out there.As for NHS,I truly appreciate what they do and just how much they are dedicated to their jobs,form the surgeons right down to the staff after care!!

I do hope fellow ostomates find this helpful and wish you all a succesful fight.

I have attached 2 photos of my stomae reversal, at the day of my reversal and 2 weeks on.(Only view if can bear this)

 day of operation

 

 2 weeks on

Regards

 

Sude

 

 

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Stoma Reversal

Possible Reversal In Two Weeks. Two Big Questions.

Good afternoon,

I have quite a dilema that some of you may or may not have read about in my recent blog post.

Last week, after over four months since my emergency colectomy, I was made aware of the fact that my surgeon gave me a “closed mucous fistula” without warning me. It was meant to reveal itself after about four weeks, though I never knew that. It was also meant to be just three pin-sized openings in the pubic incision, but mine revealed itself during a colitis flare up in the rectal stump, and so it has burst that scar open and I now have an opening that is half as long as that scar line. The surgeon said that because I’m booked in for my J-pouch surgery on the 23rd of November, that he’s not going to do anything with it, and I am now forced to wear two bags: one for my ileostomy and one that is a disc-shaped bag filled with absorbant pads. The small bag over the wound needs to be changed twice a day, minimum, simply because of the amount of blood and mucous it produces.

My dilema is that I have only just started back at university two weeks ago, and so this is quite a big stress on top of that. I have until the 31st of August to drop subjects. My mum has called around to different departments while I have been busy studying to find out what subjects I could do externally as my surgeon has told me that he can move the J-pouch surgery forward to either the 15th of August or the 22nd. This would mean that I need to pull out of university and do three subjects externally and one over the summer semester if I am to remain on track time-wise for my course. It’s not a bad option, but I’m very worried that if I pull out of uni and have the surgery now that I’ve got the next seven months of living with myself. By that I mean that I won’t have much reason to leave the house, and if I force myself to leave the house to do things I’ll feel like I’m just going out for the sake of it. That’s exactly how I felt during my four months of being at home after my colectomy. Because my first attempt at my first semester only lasted under two weeks because of colitis and emergency surgery, I have never been at uni long enough to make any friends. All of my close school friends are either at a different uni or have moved to a different state. With this wound/fistula, I feel like I’ve been taken back to the very beginning with the ileostomy, trying to work out the best way of changing it and cleaning it, as well as having the stress of fitting it into a daily (or twice daily, in this case) routine. Then there’s the worry of either bag leaking while I’m at uni. 

On the one hand, I deal with a physical problem by having surgery, but likely create mental challenges for a few months, but on the other hand I can deal with the mental challenges by staying at uni, but struggle with the physical challenge of managing two bags. I seem to be in uncharted waters here, as Googling anything to do with this yields very limited results. What would you do in my decision? I can’t make a decision about what to have for lunch, never mind having major surgery and messing around with my uni schedule.

As for my second question, are there any unmentioned complications that came with your J-pouch? I have found this mucous fistula incredibly frustrating because my surgeon has brought up the rectal stump and the discharge that comes with it many times, but never mentioned that it will most likely open up my incision and ooze from there as well. Is there anything that wasn’t mentioned to you by any of your medical professionals that you wish was?

I apologise, I have posted plenty of information to take in. I’ve had a rather stressful weekend trying to work out the best option. They both seem as bad as each other.

Thanks for any guidance,

Hamish.

1 Replies:
Possible Reversal In Two Weeks. Two Big Questions.