Avery will be having her cranial vault and fronto-orbital advancement tomorrow morning at 10:05, EST. While very necessary (I think we've covered this before, right? Fused sutures, brain needs room to grow, yadda, yadda, yadda), this surgery is very serious. Not to gross you out or anything, but it goes a lot like this...
Her skull plate will be cut from ear to ear, forehead and brow bone removed, remodeled, replaced and skin sewn shut over dissolvable plates and screws. She'll receive her first blood transfusion as there's a lot of blood loss that accompanies this type of surgery, and she'll such a little person, the surgeons don't have a lot of extra blood to work with.
Obviously, there are horrifying risks which the neurosurgeon and plastic surgeon will take every precaution to mitigate, but let's skip over those, okay? Nobody likes a buzz kill.
With the addition of anesthesia time, Avery should be in surgery for 4 hours. The first 72 hours following the procedure are supposedly the worst, as the babies are in lots of pain and their eyes swollen shut. I'm most worried about Avery's post-op comfort. She doesn't nurse or take a bottle or paci, so I'll be limited in ways to pacify her. It breaks my heart to think of her in pain, in the dark, with no idea why.
If you think of us tomorrow morning, say a little prayer. Handing my baby over to the team may be one of the hardest things I've ever done. Pray against infection, complications, transfusion rejection and ask for comfort for Avery's little body and mind... And maybe mine too?! ;-)