Swelling after TRAM flap op

After being diagnosed with breast cancer in July, 2015. It was a lobular carcinoma, so I had to have my right breast removed. Directly after the op, I had an expander. There were complications with seeping after the op, and it was only able to be inflated 6 weeks after the op. The skin began to tear, and eventually in March 2016, the expander was replaced with an implant, only for it to be rejected less than a month afterwards, as I got an infection, and it was seeping badly. 96 antibiotic tablets later, the implant was removed. The wound continued to seep for almost 11 months after the implant was removed.

 

This year in March, I had my 4th operation in 18 months. The doctor did a TRAM flap, and core muscle was removed from the right side of my tummy to form a bottom half of the right breast. The wound has had fat necrosis seeping since my op. However, I am becoming increasing frustrated because the right side of my tummy is bulging and after almost 6 months of discomfort, I am really beginning to feel very down. I have been very positive throughout this whole process, and have been keeping a journal of my measurements, the food I am eating, and a rating of the discomfort out of 10 each day. I am really trying hard not to complain, or if I do, only to say as little as possible about it, because nobody really understands what it feels like, and I don’t want to put negative energy out. But the discomfort just doesn’t seem to abate. There can be 4 days at a stretch that I rate the discomfort at only 4 out of 10, but ridiculous as it sounds, on the weekends, the discomfort seems to increase, sometimes to 8 or even 9 out of 10. The measurement around my waist, and over this bulge, can show a difference of 5cm. I’ve come to the conclusion that I’m less active on the weekend than during the week, so activity seems to help. Also, maybe I’m not eating as carefully as I do during the week.

 

Has anyone experienced the same discomfort and this horrible bulge on the right side? 6 months down the line have shown small improvements, and for that I am very grateful, but there are nights that I am SO uncomfortable, I feel like I’m going to give birth to the rock I am lugging around my waist. It’s making me feel so miserable. Honestly, it feels like I’m 10 months pregnant some days! My doctor doesn’t seem to be worried about my tummy, just the boob. I’m supposed to have revision surgery to nip and tuck the boob, but don’t want to do anything until my tummy feels back to normal. I had an ultrasound that was inconclusive. I seriously don’t want any more surgery. I’d really appreciate the support from others who may have gone through the same op.

Thank you so much.

I’m  so  sorry to hear about your condition, its aweful this is such a common medical after effect post surgery :womansad: When I went for my operation mid 2016 my stomach too began bulging with fluid after a while and it made me self-concious about my appearance. I made the mistake of watching tv alot, and not eating correctly after leaving care, so this hindered my progress which was meant to be in contrast with my healing period. The docter I dealt with at the time said the mass should naturally decrease over time as he too was not worried about it. Please if you are unsatisfied with your docter get a second opinion elsewhere and see what the recourse is from there as there are other options.

 

Tell me, what is your daily routine like? What work do you do? How often per week do you exercise? It’s super important you try and remain considerably active after surgery in order to compensate for your body to recovering muscle that was used to formulate your new breast during this period. 

 

After my op I spent roughly 2-4 months in hospital, went for physical therapy as I had an op on my leg recently aswell. But it felt like this mass in my lower stomach was like a bag of sand to me, it felt strange and foreign to me. It was managable but my daughter makes the most immaculate clothing, so she fashioned me a soft-sheet fabric to tie around my stomach so it would not be so visible. The “bag of sand” showed a visible decrease within 13months, partly due to being physically active and eating right.

 

My docter said eating junk food, ingesting fizzy sodas impacts your body tremendously during recovery, so i cant stress enough about remaining healthy! A healthy mind and healthy body makes recovery so much easier.

 

My scan was some time ago and they did confirm there was a combination of airpocket(s) and fatty mass with liquids of some kind, I had it drained shortly after and is looking far better now and the dis-comfort has subsided to a manageable point where i’m in a good position to work. I’m an accountant for a security firm so I spend quite alot of time at an office desk, though my posture has improved over-time after the OP aswell. 

 

I’ve only recently joined the forum myself, as I was curious to see other likeminded people have gone through this same ordeal, no one should have to be put thru such things…but there is so much information and guidance here for you to take advantage of.

 

You are not alone,  please, share any minute details you can, you will be suprised how the smallest change can make the biggest impact. :heart:

Hi, I can’t believe you two ladies have been going through these after effects for so long after your operations! I am two weeks today since DIEP reconstruction (just skin and fat used, no muscle fortunately).

I’m hoping to be back to work and normal activities within 2-4 more weeks - dog walking, children’s social/extra curricular activities, yoga, swimming, horse riding and the odd bit of domestic chores! I think I will go crazy if I have to wait as long as you!

Definitely follow up your medical team and make sure you’re getting the best possible care.

Keep up the healthy eating and exercise xx