Hey Amy
!!!
You had great app. and I am so happy for you ! Yes, many CRS-s have different techniques and they use the one that they were trained in during their residency and the one that gives them PERSONALLY the best results
. I LOVE to hear a lot of opinions - it gives one so much more information and great insight. The cauterization is one of the newest techniques and yes - it prevents muscle to grow together . That is what happened to me after my first LIS and my last CRS could not even find a scar tissue or ANY evidence that enything was ever done before
. So he used "cut and hook" scalpel - one that does cut upward but "brakes" strands when pulled downward and "broken" threads can not seal back. He preferred that over cauter since it gave him more control. So, yes - definitely different preferences - but any "weapon" should be fantastic in the hands of a "master" !!!!
I was also told by all of my CRSs that cut is done until release is felt - so their experience is what counts the most. They all also told me that they cut accordingly to the size of the fissure . The most important parameters are - how many LISes he performed (it should be over 500), how many patients had incontinence problems (he should say none), and what was healing rate ( it should be 98%).
I am glad you found doctor that you like and trust and if he is going to be there post. op . for you too - than he might be a perfect doctor indeed.
Best of luck Amy with your second LIS !!!! May it resolve all of your problems forever