by asdf123456 » 05 Nov 2014, 11:04
CRS has no clue, just like last time, and the time before, and before, and before, and before. The flap arrangement was just like yours...two flaps brought in from either side, and meeting in the middle right where the fissure was. Everything else healed. The outside edges, the lateral edges, everything except for the suture line between the two flaps, i.e. the one where the fissure was, posterior midline. I don't think I can have any more flaps from the outside anymore. I used up all my donor skin. It is early, but if that is the last thing to heal, it's just a plain old chronic fissure like it used to be, and even my CRS who has been upbeat in the past was at a loss yesterday. I feel bad for him honestly.
Yesterday he mentioned the possibility of just sewing it up. No flap, just a few stitches...but he was certainly skeptical. The other things I can think of are an internal flap, from the rectal mucosa pulled outwards, like OMB, another LIS on the other side (even though none of the 9 CRS surgeons I have seen have thought that I have a hypertonic sphincter spasm), or a colostomy. I feel like I am the only one in the world to have every tried so many ways to heal and failed. I am so sad. I am lost.