Is a 8mm Dissection too conservative?

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Is a 8mm Dissection too conservative?

Postby Wesabi » 16 Nov 2015, 22:19

Hello everyone. I had first time LIS Surgery last Friday and was told by the Surgeon that he cut/Dissected 8mm. Does anyone know if 8mm is considered conservative? What is the average amount that is cut? I would hate for a relapse to occur. Any help in this matter would be greatly appreciated.
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Re: Is a 8mm Dissection too conservative?

Postby Savaici » 18 Nov 2015, 08:43

:wel: to the forum.

I think that it is personal to each person's posterior as to what the surgeon does, so as long as you heal well and everthing functions normally again, I would not worry.

It is a good thing to look at our success stories (left by the very great percentage of our members who healed and are getting on with their lives now!

All the best and let us know how you're doing :sunny:
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Re: Is a 8mm Dissection too conservative?

Postby msimon » 19 Nov 2015, 04:00

Well put Savaici. I agree that the amount to cut is very individual and a decision made by an experienced surgeon. You want to cut enough to heal the fissure but not enough to cause incontinence. This is a fine line. The internal sphincter has a very important role to play. Generally speaking, 8mm sounds the norm to me. I had 6-7mm. Many CRSs today only cut to the apex (top) of the fissure and this is usually sufficient.
Dec '13 Fissure from anoscope
3 X internal sphincter botox
'08-'15 Botox for pelvic floor dysfunction
Nov '14 LIS/sentinel tag removal
Feb '15 Deroofing of recurrent infection from LIS
summer '15-healed but still ongoing muscle dysfunction/pain
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