Advancement flap-advice on healing?

Chitowncrohns

New Member

Joined : Jan 2018

Posts : 11

Posted 5/2/2018 3:35 AM (GMT 0)

Heading into my tenth (yes, tenth) surgery since last January to tackle a complex perianal fistula. The doctor is finally ready to go for the flap. Originally had a large perianal abscess, and multiple fistulae. While some of the fistulae were surgically healed, ive had a seton in one last one since last summer. Undiagnosed Crohn’s meant the fluid collection from the abscess wasn't healing. Now that i am on Imuran, the inflammation has gone down and the doc thinks i am ready for the “final” surgery!

That being said-any advice on healing? My CR surgeon usually tells me no restrictions, but i am a super active person so i need to be told to rest if i should. How much time do i need to rest? Before i run, lift, etc.?

Anything would be much appreciated!

DCCrohns

Regular Member

Joined : Jul 2011

Posts : 60

Posted 5/2/2018 3:50 PM (GMT 0)

I had standard advancement flap procedure (after all sorts of other surgeries, setons, etc.) and the more complicated gracilis flap surgery later (which worked!), and I think the best advice is to be very clear with your surgeon about your proposed level of activity and, ultimately, listen to your body.

With my first procedure, I knew when things weren't going well and gave my body time but ultimately knew the flap wasn't taking. I don't think that was a result of me pushing it too much but give your body the time it needs to support that healing (which I know is tough if you are a go-go-go person).

Best of luck to you!

Chitowncrohns

New Member

Joined : Jan 2018

Posts : 11

Posted 5/2/2018 4:41 PM (GMT 0)

Thank you! Super helpful - she's been with me the whole time but for example, told me that low levels of activity after fibrin glue wouldn't necessarily be helpful. But since it was dead of winter I was still a bump on a log and it ended up helping.

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