Advancement Flaps

Question: Has anyone had a procedure called an endorectal advancement flap? After 3 failed operations to cure an anal fistula, my doctor has referred me to another specialist to carry out a procedure called an endorectal advancement flap. With a little research it sounds like the success rate is not very high and details of the operation are quite daunting to say the least. Has anyone ever went through this operation and what are your thoughts? There is an alternative procedure called an anal fistula plug which sounds not so bad but again I would love to hear from anyone who has went through this operation. Please help!!

Answer: I believe this is in the wrong category.

Question: I have to undergo complex surgery for an anal fistula.? I developed an anal fistula last year as a result of a very deep abscess located outside my colon. To date I have had 3 operations. The problem is the fistula is running through or very near to my sphincter muscle. My consultant and surgeon has told me they cannot lay the fistula open like in normal circumstances as the risk of incontinence is too high. Three weeks ago I went through a procedure where they used a cutting seton, this is a fine tube feed through the fistula track and out my anus, tieing the ends together outside my body. As you can imagine this is very uncomfortable and painful especially when using the toilet. There is still a constant run of puss and I have to wear panty liners to save my underwear. Now my consultant has said my case is very complex and and he has referred me to a specialist. Where I have to go through another operation called an Endorectal Advancement Flap. What I gather is, this is similar to a skin graft. Has anyone any other information on this condition or procedure? Has anyone ever when through this procedure? Was it successful? What is the recovery period etc? I have also been reading this may develop into cancer is this true?

Answer: RHONDA M - Endorectal advancement flap is a procedure in which the internal opening of the fistula is identified and a flap of mucosal tissue is cut around the opening. The flap is lifted to expose the fistula, which is then cleaned and the internal opening is sewn shut. After cutting the end of the flap on which the internal opening was, the flap is pulled down over the sewn internal opening and sutured in place. The external opening is cleaned and sutured. Success rates are variable and high recurrence rates are directly related to previous attempts to correct the fistula. I am not aware of any valid reports of this developing into cancer.

Question: Do you think SAFETY at NASCAR slows techo advancements ? Dumbing down the cars is not the answer, smartening up the tracks is; ever hear of the Autobahn?, but then again, Germany won't let an American piece of junk access to it. Backto my point. Auto racing is suppose to come up with advances in technologies ie; neck holders, drivers compartment roof flaps, placing the battery just in front of the left rear tire, Locktighting the lug nuts to replacement tires etc. etc. All of which are good... However other than thick SLURRYING the tracks/roads every couple years, there has been no technological advancement for roundie following/racing or driving on our own roads. Let's just keep banking left with 2or3 right & left turn races. Give me my 20 (if your lucky) miles to the gallon, road hazard tire repair ins., and pro rated tread wear. let's see who has the redist neck. PS: Chevrolet was a Frenchman. PSS: George Carlin had it right in the 80's when he said: NASCAR where can u see a 20 car pileup and not be in it

Answer: Aside from your question not really having a point and much of the grammar/spelling making it almost impossible to decipher what you are trying to say, NASCAR has never been about technological advancements. If you want that watch F1. NASCAR is about close racing between 43 drivers on an oval track. If they made it have the same technological developments as F1 it is very likely they would be able to have an entry of 43+ cars because the costs would be too high. By the way the autobahns are among the most dangerous roads on the planet as 2/3s of the accidents that happen on them are fatal because of the speed people are going on them.

Question: Shouldnt you anti-illegal immigrants really be voicing your concerns towards the Employers whore hire illegals at sub standard pay, provide no benefits, and pay not taxes on the wages? They are the ones who are really stealing the money you say goes out from your taxes. If they didnt hire illegals we wouldn be having this debate. I still think all you anti illegals are just poor white trash with racist views, because if you knew the truth you would be flapping your gums. Dont you see that America is enslaving these illegals to fill jobs, and by paying them substandard wages, no benefits or opportunity for advancement they keep more money and make us pay more taxes

Answer: Try to start a company in construction with only american help in a city like New York. Your compition Illegal union laborers and illegal non union laborers will pound you into the ground. New York State will collect whats left of you by charging you as if you had 50 extra illegals you were not showing on the books with their workers compensation racket.If construction is all you know what do you do. IT'S The governments fault they are pounding us all and now it's impossible to be legit. I say run legal and Sub everything out to illegal companies but it's still wrong. We Need some regular type people in office average joe workers

Question: did we really land on the moon ? i have my doubts why is there wind flapping the flag when there is no wind in space ? why can't we do it now with all the technology advancements i dont think we ever did

Answer: I don't believe that we did, especially in the lunar module. The lunar module was made out of aluminum foil. The flag had to be tied down and stretched out with wires to keep it visible. There isn't any gravity on the Moon like there is on Earth you know.