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Botched tram flap surgery

By Babygirl Wednesday, December 07, 2011

 

In July 2010 I had a tram flap surgery to reconstruct after a mastectomy, after the 15 plus hour surgery I began having problems about a month later in September 2010 I found out that I had co5tracted a bacteria called micro bacterium which turned into an infection but no one knows how I got it. I had surgery again in October 2010 to clean out the infection which they ended up removing the mesh and replacing it with something else. I was on major anti-biotic for several months in IV form and then put on pill form for a few more months, here it is December of 2011 and I still have swelling, and every time I go for a walk it becomes worse I have a lot of pain and my abdominal area get real hard and now it appears to be moving up to my stomach area. I complain to the doctor but he says he does not know how or why I am still having pain and now I am having back pain because I begin to lean forward as the swelling gets bigger.  I feel as though I should of never had this surgery, I was so self-conscious about having no breasts that I went ahead and had the surgery and now I feel even more self-conscious, and now I have major issues when it comes to letting my husband see me because i am embarrassed I have alot of scars on me and the reconstruction appeared to have been botched and I do not know where to turn because my medical is limited and it’s hard to find another plastic surgeon that takes state medical.  if anyone has a suggestion I am open for them

PJ Hamel, Health Guide
12/ 7/11 5:27am

I am SO sorry you've had to go through this.... Unfortunately, the downside of tricky surgery like the TRAM flap is that there's a greater than usual chance of failure, for whatever reason - much more so than with, say, having your tonsils out.

 

I hope the first hurdle you can tackle is getting past your embarrassment around your husband. YOU are not your breasts - you're so much more. If you're in a (hopefully) loving relationship, he wants to be with you, to support you... to love you. And that means YOU - not your breasts. Of course you feel bad about your looks; as women, that's what we grow up learning, to care for (and about) our bodies. But please, please, try to have a frank discussion with your husband about this - if, as I say, you're in a truly loving relationship, I'm betting you're much more worried about the scars than he is.

 

Next, are you being treated at a hospital with social workers? If so, go speak with them about next steps. You need to see a different surgeon, and they should be able to help you find one. I have a couple of friends who've had troublesome TRAMS, and it took a few years - and a few surgeons - to set things right. You don't have to live in pain; and you CAN expect a better result than what you've currently got. So you'll have to self-advocate, which takes energy and willpower. But be strong - you can do this. And we're here for you, whenever you want to vent, or need some support. Take care - PJH

Phyllis Johnson, Health Guide
12/ 7/11 6:20am

Your original surgeon didn't necessarily do a bad job.  Reconstruction surgery is complicated and complications can happen, even with the best surgeons.  Every surgery, no matter how  small, carries a risk of infection.  However, it sounds to me like your current doctor isn't doing enough to try to resolve the problem.  If PJ's suggestion of checking with the hospital social worker doesn't work, you could also try talking to your primary care doctor or oncologist about a referral to a new plastic surgeon.  They would be likely to know good local plastic surgeons.

 

When things go wrong, it's easy to start second guessing yourself, but try not to go down that road.  You made the best decision you could with the information you had at the time. 

 

I remember how self-conscious I was when I first finished surgery.  I was sure everyone was looking at my chest.  Then one evening a woman in my breast cancer support group said how excited she was to be finally be getting her prosthesis.  I realized that I had been sitting with her every Wednesday for weeks and had never noticed she was lopsided.  People, especially your husband, like you for yourself.  Your scars are badges of courage.  Wear them proudly.

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By Babygirl— Last Modified: 12/09/11, First Published: 12/07/11