Hello all,
Well Miss Madison went in to see Dr. Eccles yesterday, but before our appointment we stopped in to see Bentley, the other baby with the omphalocele who just had a full closure, and he is doing really well. (Thank you to all of you for your prayers.)
So, at Madison's appointment Dr. Eccles said that she was happy with the way everything was going, but that it is very obvious that nothing is really making its was inside.So she is going to do a surgery to open Madison's muscles so that Madison will have a larger opening at the base. Dr. Eccles said that there is little chance that the liver would fit through the opening, so even if we get some progress with the downward pressure, this surgery is inevitable, and the liver will need some remodeling (what that entails, I am not really sure). So occupational therapy made a collar for the omphalocele so that the base will be supported while we continue to put the downward pressure, because Dr. Eccles cannot do the surgery until May, in the meantime we will try to get some of it back where it belongs. With this surgery Dr. Eccles will move out the muscles, and also remove some of the sac, she believes that the sac is healthy enough that it can be stitches back together, so no skin coverage at this surgery, which means that Madison will have to have
at least one more surgery before all is said and done. Dr. Eccles said that Madison will be in the hospital for at least 5 days, just to make sure that the sac actually can hold the stitches and won't just breakdown, also infection will be a risk. Before this surgery Madison will have another echo-cardiograph just to see where that VSD(the tiny hole in her heart) is at, if it is even there at all anymore. At the next surgery Dr. Eccles plans to close the skin and whatever muscle is possible, if not all the muscle can be closed then Dr. Eccles will put in some mesh to hold the muscle in the right shape and size, otherwise, the muscle will spread as Madison gets bigger. Then, at the next surgery, if necessary Dr. Eccles will remove the mesh, and close all the muscle together.
So, Madison's surgery date is May 4th! I am excited and terrified! We will see Dr. Eccles in April one more time before the surgery, but I doubt that there will be any changes from now until then. Wish us luck!