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Flap surgery for perirectal abscess/fistula?

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Crohn's Disease
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Posted 11/22/2011 2:05 AM (GMT 0)
Has anyone had success with this? My doctor said it is the best option for me and heals fistulas in 75% of patients.... Anyone??? Any info appreciated! Thanks! rolleyes
Posted 11/22/2011 5:36 PM (GMT 0)
I had this surgery 2 weeks ago. I think if you have a good surgeon it is a good option. I was very hopefull this surgery would be a sucess. My flap tore last thursday, due to constipation. i kept trying to express to my doctor that i'm pretty sure I have IBS-C, but she was more worried I would have diarrhea. Then when I told her I thought I ripped it due to constipation, told me she didn't think it was that serious of a problem ::face slap::

I don't know if you have had any fistula surgeries, but I will tell you the is quite a bit of pain at first. However it did get better day by day and by day 5 I wasn't needing any pain medication. I was kept one night in the hospital and was sent home and told to stay on a liquid diet for 5 days.

Honestly I would try surgery again. I think i just had bad luck with a ill experience surgeon, with very little aftercare information. I will be going to get second opionions and going to a larger city and if they give me this option, I would do it again.
Posted 11/22/2011 8:21 PM (GMT 0)
I have an r/v fistula and my surgeon is considering the flap surgery. But I'm awaiting results from an exam that I had under anesthesia to see where exactly the fistula is located, how big it is, if the surrounding tissue is healthy enough for the surgergy, etc.

Good luck.
Posted 11/26/2011 12:39 AM (GMT 0)
I have cd with peri fistulas... What is this "flap" that you guys are talking about?
Posted 11/26/2011 7:54 PM (GMT 0)
Hrsalle,

This is a direct qoute from a site I found explaining what flap surgery is, I'm not sure if we are allowed to put links in the forum. If we can't, I'll figured out how to do a private message and I can send you the link,

"This procedure involves the development of a flap composed of the inner lining of the rectum. This flap
is drawn over the internal opening where the anal gland infection is located and sutured
beyond it thereby covering the internal opening with the flap. This operation is done
through the anal opening in the operating room under a general or spinal anesthetic. The
advantage of this operation is that little sphincter muscle is divided and the risk for
leaking gas and stool is potentially small. But not every patient’s anatomy is amenable to
this procedure. And while the early results were enthusiastic with success rates close to
80%, more recent literature suggests that this procedure works only about 50% of the
time, and the risk for gas and stool leakage is not 0%. Continence may be affected in up
to 30-50% of patients. In selected patients, it is a viable option."
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