Tram flap and Hernia

I had a bi-lateral Mastectomy and Tram Flap reconstruction. I am 2 years out and now have a good size hernia. I want to the Surgeon and he says there is not enough good tissue to attach a new mesh to cover the needed area. Is there any other options? Thank YOU...

[PaulMD]

Hi there.

Though TRAM flap reconstruction is indeed one of the best methods for reconstructing the breast, it does carry a risk of hernias since this would weaken the abdominal wall overall strength by about 10-20%.  A common problem is also that if ever hernias develop, it is really difficult to have this treated due to the limited amounts of tissue that can cover the defect.  I would suggest that you get a second opinion from other surgeons who may have a better experience with handling the situation.  Also take note of other symptoms such as pain, changes in bowel habit, which may reflect problems with the herniated bowel segments.

Regards.