Advancement flap surgery...

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Re: Advancement flap surgery...

Postby Rachael 1984 » 17 Feb 2014, 14:03

Oh my lovely OMB,
So its Advancement flap surgery.... I know that Dent had the surgery in Bristol if I remember rightly, and SuzyJank, both are success stories and I think it will be good for you too..... I do hope you get the surgery soon and get your life back. Has Mr W explained to yiu about the recovery time etc? X
Hem Banding sept 2012
2Fissures
Nitro- Effective short term
April 2013-Botox-Effective short term
Diltazem-No effect, developed Rash
July 2014-Diagnosed High Resting Pressure
LIS performed on 17.9.14
Ongoing pain/re-tears. Awaiting pressure test results.
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Re: Advancement flap surgery...

Postby suzyljank » 19 Feb 2014, 18:10

Hi, owmybum. I'm so glad you got a diagnosis and a treatment plan. I had the double advancement flap last april. It helped me so much. I had severe anal stenosis and that's why I needed a double flap. I still have stenosis but it's functional now. I wish I knew how to post a picture here because I could post what it looked like right after the surgery. I'm doing pretty good. I still have to be careful and the surgical site can get very tender if I have too many bms or diarrhea. It doesn't last long but it can happen. I still have to keep stretching the area with a dilator but that's because of the extensive surgery I had. The donor sites are tender too but the doctor told me 2 years for recovery. I've had a few spasms occassionally but they are brought on by the pressure of having to have a bm sometimes. As soon as I go they go away and they are nothing like before surgery. I take miralax in the evening but I've had to cut my dose in half. My only regret was not doing the surgery sooner. I waited until things got so bad there was nothing else I could do. If I can help anyone, I'd tell them not to be afraid of surgery and doing it sooner rather than later speeds your recovery. Keep thinking postitive thoughts and follow your doctors instructions to the letter. The biggest risk from flap surgery is infection. I was able to keep things really clean because my husband helped me so much. Take care and try not to worry too much. All the best Suzy.
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Re: Advancement flap surgery...

Postby owmybum » 20 Feb 2014, 15:17

Thank you Suzy,
I have not yet discussed the results of the pressure test with my CRS.... But they were done on the principal that if they were still normal it would be advancement flap. I will speak to him tomorrow, so will know for sure if that is the plan.
I'm sure I will be bombarding you with questions as soon as I get a surgery date, but your successful healing gives me lots of hope and encouragement. Thanks!!

OMB x
fissure after hem banding and tag removal feb 11
Pelvic floor therapy
Diltiazem
Botox June 13
Nitro
Internal flap July 14
EUA and polyps removed Nov 14
Diagnosed with neuropathy Jan 15
Diagnosed with HS EDS type 3 (causes poor wound healing )
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Re: Advancement flap surgery...

Postby returnofpuzzledbutt » 20 Feb 2014, 16:23

Goodluck with ur chat with dr w tomoro, looking forward to reading ur post to see what hes going to do for u. Fingers and toes crossed xxxxxxxxxx
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Re: Advancement flap surgery...

Postby owmybum » 22 Feb 2014, 05:13

Had my telephone consultation with CRS yesterday.... And we agreed on the advancement flap surgery.
I will go in the day before surgery and get cleared out with enemas.... Then stay in on bed rest for a couple of days after to give the skin the best chance of adhering.
He has put me on the waiting list.... So ...... Watch this space!

OMB x
fissure after hem banding and tag removal feb 11
Pelvic floor therapy
Diltiazem
Botox June 13
Nitro
Internal flap July 14
EUA and polyps removed Nov 14
Diagnosed with neuropathy Jan 15
Diagnosed with HS EDS type 3 (causes poor wound healing )
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Re: Advancement flap surgery...

Postby returnofpuzzledbutt » 22 Feb 2014, 10:00

Oh omb my friend that is great news! Im sure ur nervous but really relieved that this will b the begining of the end with all the terrible pain u have been in for so long, im really happy for u. I hope u get ur date soon omb i will b praying u hear word. Thoughts and prayers to u lovely lady xxxxxxxxx
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Re: Advancement flap surgery...

Postby Rachael 1984 » 22 Feb 2014, 11:53

:smilyhug: Hi OMB,
This is the start of a new life and bottom for you! So glad you have a plan and a way forwards..... I know you will be scared, but you are a strong lady, you will get through this!

:hugs: :huggies: :rainbow:
Hem Banding sept 2012
2Fissures
Nitro- Effective short term
April 2013-Botox-Effective short term
Diltazem-No effect, developed Rash
July 2014-Diagnosed High Resting Pressure
LIS performed on 17.9.14
Ongoing pain/re-tears. Awaiting pressure test results.
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Re: Advancement flap surgery...

Postby dent1 » 22 Feb 2014, 16:33

Hi I had advancement flap surgery March last year with botox. It was a bit tricky post op as stitches burst due to constipation after surgery. I did heal very well but it did take 3 months to heal fully. I recommend being on some movicol before the op so it is in your upper digestive system before hand especially if you are given tramodol post op for pain relief. I did have a bit of a double whammy as also had a investigative laparoscopy at the same time. Much better now but still getting fissures- beginning to think due to IBS/ hypermobility syndrome but no spasms.
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Re: Advancement flap surgery...

Postby JHH » 23 Feb 2014, 02:59

owmybum wrote:Had my telephone consultation with CRS yesterday.... And we agreed on the advancement flap surgery.
I will go in the day before surgery and get cleared out with enemas.... Then stay in on bed rest for a couple of days after to give the skin the best chance of adhering.
He has put me on the waiting list.... So ...... Watch this space!

OMB x


Great news OMB

You are now through the hard part. Deciding to have surgery.

I wish you the best. Im sure in a few months you will have a painfree butt!

:smilyhug:

J
- Fissure developed in Jan '13
- Started rectogesic in Feb '13 and diltiazem Apr '13.
- Got botox Jun '13
- Healed by Okt '13, although I still had some irritation for about a year.
- Now Feb '16, all is good. Still take magnesia, and squat precautionary.
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