Best option for correction of lopsided abdominal bulge after DIEP flap caused by weakening of fascia? (Photos)

Question

I am attaching pictures to go along with a previous question about surgical correction of abdominal bulge after DIEP Flap. Pictures are not very clear but bulge is very pronounced, very firm and uncomfortable. It contracts with certain movements and tightens when I cough or sneeze. Abdomen was completely flat for 8 months after DIEP flap and bulge has gotten progressively worse in the last 7 months. Had I known this was a possibility I would have NEVER chosen the DIEP flap.

Steven Wallach, MD · Answer

Even though you had a deep flap and the muscle was preserved, it still can weaken the muscle and cause  a weakness on the affected side. You probably need a CT to make sure that it is just a weakness. Often reinforcement with mesh will be adequate.

M. Jude LaBarbera, MD · Answer

Thank you for your question, and I'm sorry for what you're going through.  I suspect this is abdominal wall weakness.  However, if you were my patient, I would start with a CT scan to better evaluate the issue.  Best of luck with your recovery.

Best option for correction of lopsided abdominal bulge after DIEP flap caused by weakening of fascia? (Photos)

Answers (2)