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Protectomy with or without Flap

I've had multiple surgeries on my left side for crohn's and a gall bladder removal. My surgeon is now suggesting replacing my loop illeostomy with a colostomy and proctectomy and VRAM flap. Perianal Crohn's and a high output iloesotomy are my primary problems.

I'm concerned that the flap will reduce my abdominal strength further. Has anyone had the flap procedure? Did it speed healing time? How is your abdominal strength? Has anyone chosen not to do the flap?