Reconstruction and Lymphadema

[Kyla48]

I was diagnosed with Inflammatory cancer in October 06.  I had my breast and lymph nodes removed in Feb 07.  I noticed some swelling in my arm in May.  I wear a compression sleeve and the swelling is more or less stable.  I am 48 years old and am considering doing reconstruction (diep flap).  Is this likely to complicate the lymphadema?  I've had one surgeon say yes and another say no.

[Dr Santos]

How are you? The lymphedema factor  does not mean that the breast reconstruction surgery should not be performed. This means more planning involved for the pre and post operation.  Although there are no definite precautions to prevent the development of lymphedema, there are steps you can take to reduce your risks. This is why it is important to communicate with your surgeon. This link may be helpful: http://www.lymphnotes.com/article.php/id/265/

Deep Inferior Epigastric Perforator (DIEP) flap breast construction results in the creation of a natural breast with no muscle removed. Patients are said to recover quickly with usually only a three-day hospital stay. The abdominal scar is placed low on the abdomen because no muscle is removed.  

I hope this helps. Take care and keep us posted.

[japdip]

The reason you got two different opinions is because it could and then again perhaps it won't. If your swelling is only confined to the arm (and not on your body) I would think not. The precautions usually   involve the arm and hand.