LIS surgery in UK or some EU country

Are you having, or have you had a Lateral Internal Sphincterotomy (LIS)? Please share your experiences here, or ask any questions.

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Re: LIS surgery in UK or some EU country

Postby Savaici » 25 Jul 2013, 19:59

I also had to travel to even see a Colon and Rectal Surgeon, and did not think of myself as brave, and certainly not stupid!
Far better to have things sorted sooner rather than later.
I wish you lots of luck and many good wishes, igrik1986!!
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Re: LIS surgery in UK or some EU country

Postby pinpin » 26 Jul 2013, 05:19

Thank you.
Well I calm myself I am about just to visit him firstly to get hopefully correct opinion - Time, Botox or LIS.
I am not going for surgery at the moment, just for consultation.
07.02.2013 - got open hemorrhoidectomy, leaded to slow healing wound. Link to story
11.12.2013 - LIS surgery
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Re: LIS surgery in UK or some EU country

Postby Rachael 1984 » 27 Jul 2013, 02:04

I would never mean anyone is stupid! Sorry if it came across wrong!
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: LIS surgery in UK or some EU country

Postby pinpin » 02 Aug 2013, 05:43

No worries Rachael, it just mine interpretation as sometimes I don't feel I have to do more surgery. Mother and wife says wait, but it is 6 months already, and I want my life back like many ppl here
07.02.2013 - got open hemorrhoidectomy, leaded to slow healing wound. Link to story
11.12.2013 - LIS surgery
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Re: LIS surgery in UK or some EU country

Postby pinpin » 03 Aug 2013, 06:13

Being on business trip and having some free time I started to prepare list of question to ask doctor. There is a list of them, please suggest if I missed something important you usualy ask or asked prior surgery!
Post hemm surgery
1. Is excision site/wound big?
2. Why do you think it didn’t heal?
3. Do you think it is healing somehow slowly or stopped completely?
4. I have been using nitro since 14.06, almost 2 months, it helped to heal my fissure cause by one doctor. Probably it is worth to continue.
LIS surgery
0. Do I have above normal anal resting pressure? Do I need some tests before surgery?
1. Do you think LIS should resolve all my problems?
2. Do you need to clean up the wound to make it acute again?
3. Will you perform open or closed technique?
4. What would happen in the event of any complications due to surgery?? ( as I live so far away)
5. For safety probably it is worth to use antibiotics right away to prevent infection?
6. Inconsistency what are you comments about this?
7. How many such cases you saw, when wound is not healing after hemmie incision?
8. If I will accept surgery, can we arrange it via mail so I prepare flight and stay in London Is it option to travel back to home or better to stay for several weeks in London?
Last edited by pinpin on 04 Aug 2013, 03:06, edited 1 time in total.
07.02.2013 - got open hemorrhoidectomy, leaded to slow healing wound. Link to story
11.12.2013 - LIS surgery
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Re: LIS surgery in UK or some EU country

Postby Please go-away! » 03 Aug 2013, 19:00

HI igrik, now I haven't had the surgery, but I remember, sorry don't know who said it here, But something about ..laser surgery, it healed them faster?..Ask about that this and his technique.
All the best..Image
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Re: LIS surgery in UK or some EU country

Postby owmybum » 04 Aug 2013, 02:19

What would happen in the event of any complications due to surgery?? ( as you live so far away)
What can you be doing in the mean time to maximise healing?
What tests would you need before surgery? ( if, indeed he thinks surgery is at all appropriate )
...... Just remember... Your appointment is only 20 minutes... And it goes by very quickly when you have a lot of questions. I would have a few of the most important ones you want answered to hand, but you never know how the appointment will go. He may just say a shot of Botox will do the trick, so there will be no need for any LIS ones.
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: LIS surgery in UK or some EU country

Postby pinpin » 04 Aug 2013, 03:07

Thanks you!
I have added your points.
But you scared me a bit about these 20 mins. If I will exceed this time, and not all my question will be answered, he will not hold appointment for another 5-10mins?
07.02.2013 - got open hemorrhoidectomy, leaded to slow healing wound. Link to story
11.12.2013 - LIS surgery
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Re: LIS surgery in UK or some EU country

Postby owmybum » 01 Sep 2013, 13:44

How's it going igrik1986 ???
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: LIS surgery in UK or some EU country

Postby Please go-away! » 01 Sep 2013, 19:58

How did it go? Everything OK. :) 
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