• Has anyone had a pedicle TRAM flap reconstruction?

    Asked by penny364 on Wednesday, June 12, 2013

    Has anyone had a pedicle TRAM flap reconstruction?

    This is one option I'm considering for an upcoming double mastectomy. The recovery time sounds pretty intense, also the pain. If anyone can share their experience I'd really appreciate it!

    9 Answers from the Community

    9 answers
    • Tallgrass69's Avatar

      HI i Had a right mastectomy with bilat tramflap reconstruction(my left breast was removed in 09) I went in at 0700 and dnt come out from recovery until 10pm. U are so sore and u have to lean forward like an old lady even when you walk. laying down u have to be forward. and you have no strength to get up from bed I had to call for my son to help me out of bed and I got a bed sore right in the crack painfull. The Dr wanted me to go to rehab to get stronger I decliend I had 2 children ages 5 and 7. I regreted not going because it is not a picnic. take advantage of the HELP....... Take Care. Deborah

      about 5 years ago
    • junie1's Avatar

      My daughter, maria,, had this done last year, june2012,, recover was intense,, pain was too,, but she is very pleased with the results... she is going for the final reconstruction this month. you can contact her, she'll be glad to talk to you about the proceedure,, she is on here as, tiaria30. we both hope all turns out great for you,,

      about 5 years ago
    • Nonnie917's Avatar

      I don't remember the difference between the TRAM or DIEP flap reconstruction. I had the lower belly fat taken and use to try and make breasts. Their wasn't enough to make full breasts so I am having implants put in on the 24th. The recovery time for me was long, 2 months, and that is because I am a diabetic. The pain was sometimes intense, but pain killers took care of it. I hated being couped up in the house, but what can you do when you can't even stand up straight to walk? Either way you look at it you will have some recovery time that isn't going to be short and you will have pain to go with it. So just be prepared and hope you have someone who can help you by cooking your meals and so forth. My husband had to do the cooking and he can't cook, but he soon learned how to do a few dishes. Hopefully with the breast implants I won't be out of commission so long this time. It's an in and out surgery so I get to go home the same day. Good luck with your operation and hope you don't have too much trouble with it.

      about 5 years ago
    • laurie2025's Avatar

      Not sure about the tram flap reconstruction; have you checked into a diep flap? They don't take muscle from the abdomen like the tram flap does, but because it's a newer procedure, not a lot of plastic surgeons do them yet. Good luck with your decision. I just had my mastectomy on the 15th of May, my reconstruction won't be until the end of the year, as I have radiation to go through first. I am getting the diep flap. Take care!

      about 5 years ago
    • penny364's Avatar

      Thanks to all who shared their experiences with the TRAM flap surgery. I'm in the process of deciding about reconstruction and your information is very much appreciated!

      about 5 years ago
    • Ladykarla's Avatar

      I had tram flap surgery. The scar goes from one underarm to the other one. The surgery was on Feb. 25th, 2013. The scar has already faded to next to nothing. Yes, I am shocked too. I started noticeably healing 8 hours after surgery. The surgeon was amazed. My team wanted to do reconstruction after the radiation. It is easier for the radiation team by separating the two surgeries double mastectomy then later implant. I had very little pain when I got home. I know. Don't you just want to slap me? I piled lots (five) of pillows around me in bed. That helped because I had four drains. Our baby girl (age 11) helped me before and after school. I was not allowed to lift my arms higher than chest height and I could only lift the weight of a Coke can. I strongly suggest that you have as much help as you can get. My husband is wonderful. The doctors will give you pain pills. I saw the plastic surgeon's portfolio and several nurses told me I will have the breasts of a twenty year old. My plastic surgeon for the reconstruction is Dr. Jackson in Columbus, Indiana. He has an incredibly good reputation. I will be seeing him in a few days. He had drawn a map on my chest prior to surgery as to what he wanted the breast surgeon to do. He was pleased with how the double mastectomy turned out. Each of us is different. Do what you feel is best for you. You go girl! YOU CAN DO THIS!

      about 5 years ago
    • Ydnar2xer's Avatar

      You might want to google John Hopkins Breast Center. This is part of what their site says, "Most breast centers are still performing flap surgery the "old fashioned" way if they do not have surgeons with these [microsurgical] skills. These older procedures (TRAM Flaps and latissimus dorsi flaps) result in the patient sacrificing either her abdominal muscles or her upper back muscles. While those procedures were the best options decades ago, today we know that there is a higher risk of hernia, weakness, abdominal bulging, and limits on physical activity with these older procedures. There are no physical limitations with the more sophisticated procedures performed at our Breast Center..." Then they write about DIEP flaps. Good luck. If you're in the NWest, my p/s has done "over 500" DIEPs to date and is the Head of the P/S Dept.

      about 5 years ago
    • Nonnie917's Avatar

      Ydnar where did you go for your surgeries? I had to stay local because I didn't know any better and of course my insurance company denies a lot of things so I took what I could get. Not a pretty scar across my lower belly and he left some of the over lapping fat in there. So one side is flat and the other is fat. I have been trying to lose weight for several reasons and hope that losing the weight will straighten that out. I believe that being overweight (even though I carried it evenly) caused my breast cancer. They said in one research that being overweight can cause a women to end up with breast cancer and since it doesn't run in our family I am thinking that might have been the case with me. But won't know for sure until I can get the okay to have the BRACA testing done. My younger sister who has a lot of health problems has A typical Hyperplasia in one breast and she has had to be on predisone for some time now. That stuff is nasty and probably caused hers. Won't know until I am tested though and I hope I get approved soon.

      about 5 years ago
    • Roadrunner's Avatar

      Sorry, this answer is so late.......I had that option, however, my plastic surgeon told me it will weaken your back muscles and since I had back surgery I did not want any more problems plus I didn't want the additional recovery time.

      about 5 years ago

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