The visit with the surgeon went well this morning. He was very disappointed that it split but was still positive about everything. He considered having her come back in to the hospital on Monday to repair it, but once he saw her he decided that was not a good idea. He said that the tissue was so soft that it would just pull apart if he tried to stitch it so soon. His recommendation is that we don't attempt the lip adhesion again, but instead just do the real repair. He said he would have liked to have the lip adhesion in place to help minimize scarring, but he doesn't think it is worth the risk to try it again.
I asked him why the adhesion can split but the real repair can't. He explained that they make the same markings for both surgeries, but in the adhesion they can't cut into as much of the tissue as they do with the repair. This is because some of the tissue needs to stay intact otherwise the real repair won't be effective. Basically the adhesion is a more superficial surgery, while the real repair goes into deeper tissue and uses stronger stitches. There should be no chance for the lip repair to split after that surgery.
I asked him why the adhesion can split but the real repair can't. He explained that they make the same markings for both surgeries, but in the adhesion they can't cut into as much of the tissue as they do with the repair. This is because some of the tissue needs to stay intact otherwise the real repair won't be effective. Basically the adhesion is a more superficial surgery, while the real repair goes into deeper tissue and uses stronger stitches. There should be no chance for the lip repair to split after that surgery.
We go back to see him again in one month. Until then, looks like I am back to taping her lip (Ughhh!). I know the adhesion wasn't as successful as we hoped, but I can see some improvement.
On a side note, Rylan still isn't sleeping well. I've been having to get up with her every hour or so, but she does go right back to sleep when comforted. This morning she slept from 3:30 - 7:30, so maybe we are getting back on the right track!
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