Tuesday, October 19, 2010

Patient feels uneasy about cleft lift


Sounds like you feel uneasy at the prospect of an unmet surgeon chopping on your rear end, right?  Natural.  You hope that this solves the nuisance quickly and permanently, correct?  We do, too.  We both hope the cigar works to avoid surgery (see prior blog post), right?


Thanks!  I will try wearing the "cigar" for a few weeks and see how it goes.  If this doesn’t work and I still have the open wound I plan on coming to Oregon to see you. Our plan also.
Since I will be coming so far to see you how would the appointment situation work?  Would you be able to look at my wound and see what needs to be done one day and then do a procedure on the next day?  
If you agree with our proposal after we see the unhealed Z-plasty, probably surgery the same day. 

  I would like to stay in Oregon during this entire time so I don’t have to be flying back and forth.  Since my z-plasty surgery a couple years ago the top 2 inches or so of my butt crack is gone.  I am left with a short butt crack (only about 2 to 2.5 inches worth above my rectum) with the z scar right above it.  Would I still be a good candidate for a cleft lift since my wound is only about a half inch above my rectum and extends up for about an inch?  
Yes, the operation is designed to solve that kind of problem.

Since the wound is right in the mid line of my crack and right at my rectum it worries me that it can’t be fixed.  How many cleft lifts have you performed and what percentage of them have been successful?  

Maybe 200.  As far as we know they are all healed.  Maybe 5-10 required repeat operations.  Maybe 3-5 patients three operations as we learned how to solve and teach these problems.  We are still learning.

How long would I need to take off from my job (it is a sit down office job)? Also, when could I go back to jogging and playing sports?
Tell your boss three weeks.  You have permission to back to both when you feel like it.  He will be surprised when you show up at 10d-2 wks
 

Sorry for so many questions, just trying to prepare myself for what may be to come.  Thank you for your time and have a good day!

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