Stoma Reversal Surgery: Best Timing and Key Factors to Consider! | Dr Praveen Kammar, Mumbai

Stoma reversal is an important surgical procedure, but determining the right time for it can vary for each patient. Dr. Pravin Kammar explains that choosing the appropriate timing for stoma reversal can make the recovery process smoother and more effective. The decision depends entirely on factors such as complete healing, test results, and the patient's overall health. After surgery, the body needs time to recover, and proper evaluation is essential. Tests like loopogram and endoscopy are used to confirm whether internal healing is complete. For rectal cancer patients, this procedure can be slightly more complex, especially if the tumor is located in the lower area. In this video, we’ll discuss the best time for stoma reversal and the important factors involved.
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What is the Best Time for Stoma Reversal?
Stoma reversal is performed when the surgical site has fully healed. Typically, this process begins 6–8 weeks after surgery. However, if healing is slower, it’s better to delay the procedure. Proper reports and evaluations, such as loopogram and endoscopy, are crucial for confirmation.

What If Recovery is Fast?
If recovery is progressing quickly without complications, stoma reversal can be done sooner. Early reversal can provide both physical and mental relief for patients.

Healing After Surgery
The healing process varies for each patient. Surgery is only possible once internal tissues have properly reconnected and are free from infection. Factors like the patient's lifestyle and overall health play a significant role in the process.

Loopogram and Endoscopy
Loopogram and endoscopy are essential tests to confirm proper internal healing. A loopogram detects leaks, while endoscopy provides insights into the condition of the inner lining.

What If Rectal Cancer is in the Lower Area?
For patients with low rectal cancer, stoma reversal can be more challenging. Extra care and thorough evaluation are necessary to avoid complications.

Conclusion
Choosing the right time for stoma reversal is critical. Dr. Pravin Kammar emphasizes the importance of proper healing, necessary tests, and evaluating the patient’s condition before making this decision. With the right guidance, the procedure can be both successful and smooth.

Chapters:
0:00 Introduction
0:19 Q1 - What is the best time for stoma reversal?
1:45 If recovery is fast
2:15 Healing after surgery
2:35 Loopogram
2:45 Endoscopy
3:09 If rectal cancer is in the lower area
4:25 Conclusion
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About Dr. Praveen Kammar
Dr Praveen Kammar is a surgical oncologist practising in the city of Mumbai.
He completed his MCh course in surgical oncology from the reputed Tata Memorial Centre, Mumbai, one of the premier cancer care centres in the country. He also holds a fellowship in Colorectal surgery from Yopnsei cancer centre, Seoul, South Korea. Dr Praveen’s main area of focus is colorectal and GI oncology, Gynecological cancers, minimal access surgeries for abdominal and thoracic malignancies, transanal surgeries, and sphincter-saving surgeries for rectal cancer, cytoreductive surgeries, and HIPEC for advanced abdominal cancers.

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