I have had issues starting at about 6 weeks out with it healing. A section about 6cm long and 2-3 cm deep had opened up. I was on a regimen of using medihoney every other day until 2 weeks ago (one day of 3 months from surgery) when something opened up and drained all over my clothes (there was tunneling). I am now on antibiotics for infection and packing it every day. I am also appear to look 3 months pregnant. Is there a chance that it is just swelling since the wound has not yet closed?
March 25, 2014
Answer: DIEP flap, Brest cancer, DCIS Healing issues exist in the area where the flaps were placed to the stress of the mastectomy on the skin of the chest and on the abdomen due to the stress placed on the tissues where the flaps were taken from initially. The abdominal wound is closed under tension usually. The most likely place to have issues is just above the pubic area. Factors that effect wound healing are the size of the patient (BMI), health of the patient which includes conditions such as diabetes and of course other issues related to the treatment of cancer. In addition smoking and a diet low in protein play a role in delayed wound healing.Three basic forms of breast reconstruction exist. You can use your own tissue, implants or a combination of the previous two techniques. Your own tissue can be used in the form of the DIEP flap, PAP flap, SGAP flap or fat grafting. Implants can be done in one stage or two stage. Two stage reconstructions are started by placing expanders at the time of mastectomy. Once they expanders are placed they are able to be inflated as determined by wound healing. The final time consists of combining any of the above techniques. If you are interested in being seen in Austin please give us a call. I know this is a difficult time for you. The majority of my practice is devoted to reconstruction for women with breast cancer or who are BRCA+
Helpful
March 25, 2014
Answer: DIEP flap, Brest cancer, DCIS Healing issues exist in the area where the flaps were placed to the stress of the mastectomy on the skin of the chest and on the abdomen due to the stress placed on the tissues where the flaps were taken from initially. The abdominal wound is closed under tension usually. The most likely place to have issues is just above the pubic area. Factors that effect wound healing are the size of the patient (BMI), health of the patient which includes conditions such as diabetes and of course other issues related to the treatment of cancer. In addition smoking and a diet low in protein play a role in delayed wound healing.Three basic forms of breast reconstruction exist. You can use your own tissue, implants or a combination of the previous two techniques. Your own tissue can be used in the form of the DIEP flap, PAP flap, SGAP flap or fat grafting. Implants can be done in one stage or two stage. Two stage reconstructions are started by placing expanders at the time of mastectomy. Once they expanders are placed they are able to be inflated as determined by wound healing. The final time consists of combining any of the above techniques. If you are interested in being seen in Austin please give us a call. I know this is a difficult time for you. The majority of my practice is devoted to reconstruction for women with breast cancer or who are BRCA+
Helpful