The Things That They Can Do with Surgery Amaze Me!

So I am going in for another surgery on December 12^th, 2013 at 7:30am to have a reconstructive surgery done.  I have been going to the doctor almost daily since January 9^th due to having a wound post-surgery that would not heal.  We have tried EVERYTHING to have this wound healed but my body is saying Nope I don’t think so! 

My body has been acting this way for a while now so it is not a surprise that it would go ahead and decide to do it now but we gave it a lot of time.  This week I hit my 300^th doctor visit this year.  That is a lot I know the nurses on a first name basis and I bet if you ask them they have seen way more of me than anybody ever wants to see.  

When they do a proctocolectomy they remove the rectal stump because you do not need it any more they give you as we in the ostomy call it an action figure butt or a Barbie butt.  You know the kind that is there but completely closed up and serves no function?  Well that was supposed to happen to me, you have no idea how happy I was to have a GI Joe butt, come on my wife would love a GI Joe butt right?

Well my body decided not to heal the wound so instead of GI Joe butt I went back to a complete dysfunctional butt that would not heal.  I have a six inch by 1.5 inch cavity that will not heal or close up. So that means going in daily to have the wound packed with gauze to try and keep it from closing up too quick and causing an abscess to form.  So not only do I have to go in daily what they do to me is not pleasant by any means.  Luckily I have had some very amazing nurses and doctors who have been trying to provide the best care for me possible.

So with this surgery I will be a human jigsaw puzzle as I like to call it but I am so thankful that they are doing it so that I can hopefully be healed and moving forward.  They are going to use the two small muscles on the inside of my inner thigh the Gracilis Muscle to pull through the wound and fill the cavity and then allow my body to just heal the outside wounds.

Here is a wonderful write up about it on Wikipedia:)

 

The gracilis muscle is commonly used as a flap in microsurgery. According to the classification of Mathes and Nahai, it presents a type II blood supply, allowing it to be transferred on its artery derived from the medial circumflex femoral artery. This artery enters the muscle about 10 cm from the pubic symphysis. At this point (or 1 cm proximal) the nerve also enters.

Gracilis muscle is widely used in reconstructive surgery, either as a pedicled flap or as a free microsurgical flap. Both pedicled and free flaps can be muscular or musculocutaneos (the so- called "composite flaps"). As a pedicled flap, gracilis muscle can be used in perineal and vaginal reconstruction, after oncological surgery, in the treatment of recurrent anovaginal and rectovaginal fistulas as well in the coverage of the neurovascular bundle after vascular surgery.^[3]

As a functioning pedicled flap, the gracilis muscle can be transferred for the treatment of anal incontinence. This technique called graciloplasty was described in the 1950s by Pickrell and was revolutionized in the late 1980s by the introduction of chronic muscle electro-stimulation. The gracilis microsurgical free flap is commonly used in the reconstruction of upper and lower limbs, in breast reconstruction and – as a free functioning flap – to restore forearm function or in dynamic reconstruction of facial paralysis.Gracilis Muscles Clinical Role

So I only have 20 more daily visits to get through and then we will have surgery so please keep my family in your prayers as we go through one more but hopefully this will be the last one!