I have my box of tissues.
I have my notes.
I have a few minutes of peace.
Here we go.
The surgery Alayna will have to go through will be a lot more... involved than we originally anticipated.
Yes, she will have to have the bigger surgery as the smaller one I had mentioned before is only done on babies younger than 4 months.
So, this is more or less how it will go.
It will require two surgeons. The pediatric plastic surgeon will do about 90% of it and a neuro surgeon will do about 10%.
The plastic surgeon will cut open her scalp, ear to ear in a zig zag pattern. This is done so that when her hair grows in it will cover the scars otherwise her hair would part right where the scars would be. I think there was something mentioned about it also helping the skin not to open up to much... or something. I kind of missed that part.
Then the neuro surgeon will step in and actually cut out and remove the head plates from off her head and hand them in four pieces to the plastic surgeon. He will then take them over to a table and reconstruct them, allow room for growth and what not, put it all back together with plates and screws that will dissolve in about a year. He will then finish out the surgery by putting her head back together and sewing her up.
The surgery takes about 4-5 hours. And since Alyana is so small and will loose so much blood she will most likely have to have a blood transfusion as well.
She will spend a night in the ICU and will be on narcotics for a couple of days. Even so she will be quite sore, groggy and uncomfortable. By the second or third day she will be quite swollen. I was told her eyes will be swollen shut.
There will be a drainage tube that will run under her forehead which will be pulled out by the fourth day. By the fifth day the swelling will be going down and she should be able to start opening her eyes again.
So, one night in the ICU and four nights in the hospital, then we bring her home.
It will take a good three weeks for the visible swelling to go away and another 6 months before the deeper, non visible swelling goes away.
The whole surgery is done outside of the protective lining (like a thin leather) that covers the brain so the chances that anything will happen to her brain is very slim. They said the biggest risk will be blood loss.
While we where there they took x-rays of her neck since the surgery is preformed with her laying on her stomach with her chin propped up on something so they needed to make sure her neck was alright.
I'm doing okay. As long as I don't think about it too much or conjure up any images. The surgeon, after telling us everything kind of gave us an odd look and said, "You guys don't seem surprised." I told him we had a bit of a heads up that surgery would be needed but the details were still sinking in.
Anyway, they had to coordinate the two surgeon's schedules so I'm suppose to hear back sometime today as to the date of the surgery but they were thinking it will be sometime within the next month. I'll let you know when I find out.
The only bits of GOOD news are that the surgeons said they preform this particular surgery a couple times a month so they have lots of experience. And she will NOT have to wear a helmet when this is all over.
Well, that's about it for now.
Anyway, the house is WAY too quiet. I better go find the boys and make sure they aren't getting into anything.