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Old 04-03-2013, 08:52 PM   #1
Deb33
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Lat Flap Recon

Going in for my 2nd attempt at reconstructing my radiated breast. I rejected the implant at 4 weeks and have been without anything for 8 months, definitely an experience in modifying clothes to create a sense of balance. I had my pre-op yesterday and must admit I'm not excited about the next procedure. I am looking for any advice or insight you can provide on ideas to make this next surgery as tolerable as possible. I understand the lat flap with expander is my best option, just a little overwhelmed.
Thanks in advance for your help.
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11/19/10 Identified swollen lymph node
1/24/11 Mammogram showed microcalcifications - no mass
2/4/11 Diagnosed ER/PR- HER2+++
2/23/11 Began TCH protocol every 21 days 6x
5/23/11 Ultrasound of originally diseased lymph node shows normal
7/25/11 Lymph node dissection - 8 of 14 show disease
7/29/11 Double mastectomy with reconstruction (expanders)
8/29/11 Begin follow up chemo - Adriamycin 4 treatments every 2 weeks and Xeloda. Self inject Nupogen shots
1/6/12 6 weeks of Radiation finished
2/13/12 Last Herceptin/remove port
3/27/12 PET/Brain Scan NED :)
8/15/12 Final reconstruction - hello nipples, good bye expanders
9/14/12 Rejected implant/infection. Implant removed
5/6/13 Latissumis Dorsi surgery left side with expander

PS - my photo was taken 5 days after my double mastectomy surgery and 6 weeks after my TCH was completed
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Old 04-04-2013, 02:53 AM   #2
Jackie07
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Re: Lat Flap Recon

Deb,

Snolan has reported about her Lat Flap in the following thread:

http://her2support.org/vbulletin/sho...atissimus+flap
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Last edited by Jackie07; 04-04-2013 at 02:55 AM..
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Old 04-04-2013, 05:31 AM   #3
NEDenise
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Re: Lat Flap Recon

Deb,
No wisdom...but lots of prayers and affection headed your way. Cancer sucks! Reconstruction sucks! You must be ready to scream, "ENOUGH ALREADY"!!

Thinking of you, and hoping this time things work out perfectly.
Denise
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3/11 - Post-op staph infection,cellulitis, lymphedema,seroma,ARRRGH!
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Old 04-04-2013, 07:42 AM   #4
snolan
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Re: Lat Flap Recon

Deb- I had the lat flap. The first couple of weeks are rough like any surgery. But the fact that it is only on one side unlike the double mastecomy was a benefit. I had to have an additional drain put in at the breast (one will be put in on your back) I had trouble with fluid retention with both surgeries. I would definitely ask your PS for a physical therapy referal since you are an active person. I waited and ended up with a tight shoulder capsule which limits my external rotation. Very important to strengthen your rotator cuff and mid trap and rhomboid area as these will be the structures that will now be supporting your shoulder complex. The lat tendon will scar up so the PT will need to work on that. Finding one that works with BC patients is a plus. I am happy with the end result. I can't do pull-ups anymore but oh-well. If you have any more question please contact me. Good luck.
Suzanne
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dx: DCIS 6/8/10, HER 2+ 7/26/10; Stage I Age 41
Double mast w reconstruction
6 TCH w 1yr herceptin
Tamox.
25 radiation tx
Removal of expander on L due to infection. Tried to save it had 3 bouts of antibiotics and went to see plastic surgeon 2-3x wk to get drained. Saving it was my idea not his. But lost it anyway.
Reconstruction set for December 21st,2011
Finished chemo 12/2010
Finished Herceptin 8/26/11
Reconstruction 12/21/11
Expanders exchanged for silicon 3/19/12
Nipple reconstruction 5/18/12
Nipple tatooing- 7/9/12- All done yay!
11/22/12-Went back to get scar tissue stretched to even the outside of breast, didn't work due to it being radiated skin.
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Old 04-04-2013, 09:03 AM   #5
roz123
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Re: Lat Flap Recon

deb - I had the lat flap
please don't let my experience scare/sway you but I have been having a difficult time with recovery. I think the most important thing you can do is what snolan suggested and get moving as soon as you are cleared to do so. I think my problems started because it took me a long time to move after the surgery because I had such a terrible time with the expanders (but you've done that already). You need to stretch/build muscle strength as soon as you are able - a good PT can help with this, I have found yoga to be extremely helpful aswell
good luck
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right breast IDC 2.2 cm LVI
neoadjuvant fecx3, tax and her x3
surgery -pCR 0/2 nodes
25 rads
herceptin x18
tamox
prophy bi-msx with TE's oct 15/12
LD flap reconstruction (PM me if you want the details)
zoladex shots monthly until SOFT studies come out
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Old 04-04-2013, 03:54 PM   #6
Jeepster
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Re: Lat Flap Recon

Good luck!! Tomorrow is my last T/H combo, In six weeks I will have B/L mastectomy with latissumus support, TE 's then implants. 40 more weeks of H... Can't wait for this NIGHTMARE to end! Keep updated I'm a wreck about this surgery!
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