What is stoma formation and reversal?
A stoma is a surgical opening created in the abdominal wall to divert the bowel, usually following resection of the colon or rectum, or in the management of bowel obstruction or perforation. Mr Daulatzai performs both ileostomy and colostomy formation as part of planned and emergency colorectal procedures. Where a temporary stoma has been formed, reversal surgery to restore bowel continuity is offered once the patient has recovered and conditions are appropriate.
When stoma surgery is needed
A stoma is a surgically created opening on the abdominal wall that diverts bowel contents into an external bag. It may be formed during emergency surgery for obstruction, perforation, or severe infection, or as a planned part of colorectal resection for cancer, inflammatory bowel disease, or complex diverticular disease.
Temporary stomas (most commonly ileostomy) protect a downstream join while it heals. Reversal surgery restores bowel continuity once healing is complete and clinical conditions are appropriate. Permanent stomas are required when the rectum or anal canal cannot be preserved safely.
Stoma formation and specialist support
Mr Daulatzai performs both ileostomy and colostomy formation as part of planned and emergency colorectal procedures. Before surgery, stoma site marking and discussion with specialist stoma nurses help ensure practical, comfortable appliance fit and confidence with stoma care from the early post-operative period.
I explain expected stoma function, appliance management, diet, and lifestyle adjustment. Close liaison with stoma care teams continues through recovery.
Stoma reversal
Reversal is considered when the original indication has resolved, nutritional status is adequate, and imaging or examination confirms it is safe to restore continuity. I explain timing, the reversal operation, expected recovery, and realistic expectations regarding bowel function after reversal.
Not all temporary stomas can or should be reversed; suitability is assessed individually with clear discussion of benefits and risks.
Your consultation
If you are facing stoma surgery or considering reversal, specialist assessment and nurse support are essential. Appointments are available through NHS referral and private practice across London and Hertfordshire.
Contact my team to discuss your stoma pathway and planned care.
Frequently asked questions
Will I need a stoma after bowel surgery?
Not all bowel operations require a stoma. Where a stoma is a possibility, this will be discussed with you in detail before surgery. In many cases a stoma is temporary and can be reversed at a later date once healing is complete. Mr Daulatzai will always explain clearly whether a stoma is anticipated and what the plan will be.
How long will I need off work after surgery?
Recovery times vary depending on the procedure. As a general guide:
• Minor procedures (haemorrhoid banding, anal procedures): one to three days.
• Robotic or laparoscopic bowel surgery: two to four weeks, depending on the nature of the operation and your occupation.
• Open surgery: four to six weeks.
Mr Daulatzai will give you personalised guidance on expected recovery at your consultation and again before your procedure.
How quickly can I be seen?
Private patients can typically be seen within one week. Please contact the secretary directly to check current availability.
