Reconstructive Surgery Expert Forum
Abdominal buldge post tram flap
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Questions in the Reconstructive Surgery Forum are being answered by Dr. Archibald Sanford Miller III, MD,FACS, the Associate Professor at the University of Oklahoma School of Medicine.

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Abdominal buldge post tram flap

If you could help understand my problem out I had a double mastectomy and tram flap August 2008.  Before my question I want to say that I have no regrets having had this procedure.  I have been fighting cancer since 2003 first breast then 2006 stage 3 ovarian cancer. I have had surgery to debulk an ovarian mass (malignt) close to the size of a pineapple  appendectomy, ometum removed, radical hysterectomy two years of chemo.  After a number of years of breast biopsies I decided with my many dr.s  full support fto have a bilateral skin sparing mastectomy and tram flap.

I Feel I have done everything possible to have some peace of mind.  I know I am babbling I just want you to understand my history.  I had a few minor but lucked out in avoiding major complications form my many surgeries until now.  I have a huge abdominal bulge at my abdominal incision it gets bigger as the day goes on I feel like my guts are falling into my groin.  This is not a hernia or intestinal issues although it is causing pain, discomfort, bladder and bowel functions problems.  My PS suggested I see my general surgeon I did he is a great guy tried a couple things to help my bowels that was ok but didn’t help my bulge he is stumped and I respect him for admitting that to me. My PC ordered X-ray for stool in intestines was moderate .  

My dr.s are at a loss maybe abdominal wall weakness GS suggested I see if PS would consider repair surgery.  I told him that my binder from my surgery helps with the pain, discomfort and bulging he suggested that I might look into a girdle.  This is where I felt the previous information was important I really don‘t have mush left in my abdomin (abdomen) to keep things where they should be.

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I have seen later that you are being referred to the right person to fix your problem.

              arch s miller ms md facs
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