Healty | Who is NOT a DIEP flap candidate?

With to a greater extent than women becoming aware of DIEP flap thorax reconstruction every bit an option, the inquiry of who is in addition to who isn't a skilful DIEP flap candidate is coming upwards to a greater extent than often.

As a full general rule, women that accept had extensive abdominal surgical physical care for like a previous TRAM flap, stomach tuck or a complex hernia repair cannot accept a DIEP or SIEA flap thorax reconstruction. This is because the lower stomach tissue that is needed has ordinarily been removed or moved around, in addition to the necessary blood render has been disrupted.

Having said that, most of the fourth dimension previous abdominal surgical physical care for isn't an number inwards experienced hands.

Many women these days accept had at to the lowest degree ane previous c-section or roughly other gynecologic physical care for similar a hysterectomy. It is possible for these procedures to campaign harm to the blood vessels needed for DIEP flap surgical physical care for but fortunately this is unusual. H5N1 previous c-section, hysterectomy, or tubal ligation is non a contra-indication to having a DIEP or SIEA flap. Previous liposuction is non ordinarily a occupation either unless this was extensive.

If your surgeon is worried close potential harm from previous surgical physical care for in addition to thus for certain tests tin live performed to evaluate your anatomy to a greater extent than closely. This tin include a unproblematic doppler ultrasound seek out inwards the purpose or a to a greater extent than involved seek out similar a CT angiogram. Unfortunately, the CT scan does involve radiation.

While previous abdominal surgeries may non forbid yous having DIEP flap reconstruction, women that accept had multiple previous abdominal procedures are at increased adventure of abdominal complications similar bulging in addition to hernia later DIEP flap surgical physical care for when compared to women that accept never had prior abdominal surgery, fifty-fifty though the abdominal muscles are preserved. This is because the fascia (the strong layer of tissue over the muscles) has already been weakened past times the previous surgeries.

Some medical issues tin brand whatever bird of microsurgical thorax reconstruction (like the DIEP flap) to a greater extent than hard in addition to they tin every bit good increment the adventure of complications similar flap loss. These include disorders that brand the blood clot to a greater extent than easily (eg Factor V Leiden).

I promise this information helps.

Dr C

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Dr Chrysopoulo is a board certified plastic surgeon inwards San Antonio, Texas specializing inwards state-of-the-art reconstructive thorax surgery. He in addition to his partners at PRMA are In-Network for most major U.S.A. insurance plans. Patients are welcomed from across in addition to exterior the US. Please telephone phone (800) 692-5565 or electronic mail patientadvocate@PRMAplasticsurgery.com to acquire to a greater extent than close your thorax reconstruction options. Connect amongst other breast cancer patients on Facebook.

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