by asdf123456 » 03 Mar 2014, 16:03
Hi Igrik,
I hope you are doing alright. I have had nearly the exact same experience as you from reading through your accounts. I had a hemm surgery that never healed, then I had LIS, which helped, but did not entirely heal the remaining wound. I actually had my 3rd round botox 3 months after the LIS surgery, which sufficiently convinced me and multiple surgeons that muscle spasm was NOT the problem in my case. We therefore opted for a y-v advancement flap to cover the remaining wound, which I underwent 10 days ago. I would suggest that you consider this procedure, or a different shaped flap, with your surgeon before undergoing a second LIS, because it is not entirely certain that a muscle spasm is the cause of your condition. It's possible that just too much tissue was removed during the initial surgery, leaving a wound that is unfortunately too wide to fill itself in without adding some tissue to the area. Although the recovery is considered longer, I would opt for a y-v before a second LIS because there is very little chance of sphincter damage. I actually also got botox (my 4th round) at the same time as the surgery, which has helped alleviate the tension in the area. Best of luck with whatever you decide.