The DIEP flap physical care for has apace buy the farm the "gold standard" inwards pectus reconstruction today. While non every adult woman is a candidate for DIEP flap surgery, many are turned away when inwards fact they needn't be. The most mutual areas of confusion include:
1) Previous Abdominal Surgery
While to a greater extent than or less types of previous abdominal surgical physical care for tin brand the DIEP flap physical care for impossible to perform, most of the fourth dimension previous abdominal surgical physical care for actually isn't an issue.
Many women these days bring had a previous c-section or hysterectomy. It is possible for these procedures to drive impairment to the blood vessels needed for DIEP flap surgery, simply this is rare. Influenza A virus subtype H5N1 previous c-section, hysterectomy, or tubal ligation is non a contra-indication to having the procedure.
If your surgeon is worried well-nigh potential impairment from previous surgical physical care for in addition to thence for sure tests tin live performed to examine the anatomy to a greater extent than closely. This tin include a elementary doppler ultrasound assay inwards the component subdivision or a to a greater extent than involved assay similar a CT angiogram.
So which previous surgeries DO drive a problem? Women that bring had a previous TRAM flap, tummy tuck or really extensive abdominal wall surgeries (like complex repairs of huge hernias) cannot bring a DIEP or SIEA flap reconstruction because the lower stomach tissue that is needed has already been removed, disconnected or moved around.
While previous abdominal surgeries may non forbid DIEP flap reconstruction, women that bring had multiple previous abdominal procedures are at increased guide chances of abdominal complications similar bulging in addition to fifty-fifty hernia afterwards DIEP flap surgical physical care for when compared to women that bring never had prior abdominal surgery.
2) An Umbilical Hernia
It is really unlikely that an umbilical hernia would forbid DIEP flap surgery. Most umbilical hernias are small. Influenza A virus subtype H5N1 really large umbilical hernia tin brand the surgical physical care for harder simply fifty-fifty this is non commonly a contra-indication to having the procedure.
3) Previous Chest Radiation
One of the most of import things for the reconstructive surgeon to arrive at is to supervene upon the damaged, theatre irradiated tissue alongside normal, healthy, soft tissue. If the irradiated tissue is non good for yous plenty to live used equally component subdivision of the reconstruction (as is the instance inwards many instances), it volition live removed in addition to replaced yesteryear the good for yous (DIEP) tissue.
I bring visited alongside a fair number of patients who bring previously been told they are non candidates for DIEP flap reconstruction because they received pectus radiations afterwards their mastectomy. I do not portion this opinion.
Most of the fourth dimension this advice seems to stalk from fearfulness that the radiations may bring caused impairment to the internal mammary vessels inwards the chest. These are the blood vessels that are commonly used to connect the DIEP flap to the chest. In reality it is exceptionally rare for us to uncovering these blood vessels are damaged in addition to cannot live used.
4) Not the Right Amount of Tissue
You don't quest to live overweight to live a candidate for a DIEP flap. What matters is the distribution of the fat. We bring performed DIEP flaps on smaller breast, sparse women alongside a BMI (body volume index) of twenty (and fifty-fifty less) because the fatty that they did bring was "in all the correct places". Having said that, in that location is an upper boundary beyond which the risks of surgical physical care for outweigh the benefits - At PRMA nosotros laid an upper BMI boundary of twoscore equally nosotros bring institute that performing the physical care for on women alongside BMIs greater than this significantly increases the rates of complications (especially injure healing problems).
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Dr Chrysopoulo is a board certified plastic surgeon specializing inwards the latest pectus reconstruction techniques . He in addition to his partners are in-network for most the U.S. of A. insurance plans. Learn to a greater extent than well-nigh your breast reconstruction options in addition to connect alongside other pectus reconstruction patients here. You tin likewise follow Dr C on Twitter!
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Showing posts with label TRAM flap. Show all posts
Showing posts with label TRAM flap. Show all posts
Healty | TRAM Flap vs DIEP Flap: What's the Difference?
Up until a few years ago, the TRAM flap was the golden measure inwards pectus reconstruction afterward mastectomy. The TRAM has straight off been surpassed past times the DIEP flap for that honor. For patient's researching their reconstructive options afterward mastectomy, it is of import to sympathize the concept of TRAM surgery as well as how it has evolved into today's cutting border DIEP procedure.
There are 3 primary forms of the TRAM flap operation ordinarily performed past times plastic surgeons:
1) The Pedicled TRAM flap: this was the showtime functioning to depict purpose of ane of the rectus abdominus muscles (sit-up muscle) for pectus reconstruction. The surgery begins alongside an incision from hip to hip. Then, the lower abdominal tissue below the belly push (skin, fatty as well as ane of the abdominal muscles) is tunneled nether the upper abdominal peel to the pectus to practice a novel breast.
Recovery from the surgery tin live hard as well as painful. Long-term, the patient has to adjust to the loss of some abdominal forcefulness (up to 20%). As alongside whatsoever surgical physical care for at that topographic point is the possibility of complications. These include delayed healing, fatty necrosis (part of the tissue turns hard due to pitiable blood supply), abdominal complications such equally bulging and/or hernia, as well as loss of the reconstruction altogether (rare).
2) The Free TRAM flap: this physical care for uses the same abdominal tissue equally the pedicled TRAM except that the tissue ("flap") is disconnected from the patient's body, transplanted to the chest, as well as reconnected to the trunk using microsurgery. Advantages over the pedicled TRAM include: improved blood provide (and thence less opportunity of healing problems as well as fatty necrosis), as well as less musculus sacrifice (so the abdominal recovery is a fiddling easier, potentially to a greater extent than forcefulness is maintained long-term, as well as the opportunity of bulging as well as hernia formation is lower).
Since the tissue is disconnected as well as transplanted to the chest, at that topographic point is likewise no tunneling nether the peel equally at that topographic point is alongside the pedicled physical care for as well as no subsequent upper abdominal bulge or as well as so the ribcage expanse (which is typically seen alongside tunneling).
3) The Muscle-Sparing Free TRAM flap: this functioning is associated alongside all the benefits of the gratuitous TRAM but has significantly fewer abdominal complications as well as side-effects (pain, bulging, hernia, forcefulness loss) because the vast bulk of the abdominal musculus is spared as well as left behind. The sum of musculus taken is typically real pocket-sized (postage-stamp size). We volition opt for this version of the TRAM entirely inwards the rare lawsuit that the patient's anatomy does non let for a DIEP or SIEA flap.
4) The DIEP flap: This is the most advanced flat of pectus reconstruction surgery available today. Like the muscle-sparing gratuitous TRAM, the DIEP uses the patient's ain abdominal peel as well as fatty to reconstruct a natural, soft pectus afterward mastectomy. Unlike the TRAM however, all the abdominal musculus is preserved. Only abdominal peel as well as fatty are removed similar to a "tummy tuck". Patients thence sense less hurting afterward surgery, savour a faster recovery as well as keep their abdominal forcefulness long-term. Since the abdominal muscles are saved, the opportunity of complications similar abdominal bulging as well as hernia are likewise significantly lower. Please view our gallery to persuasion DIEP flap earlier as well as afterward photos.
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Dr Chrysopoulo is a board certified plastic surgeon specializing inwards the latest pectus reconstruction techniques including DIEP flap surgery. He as well as his partners perform over 500 DIEP flap procedures per twelvemonth as well as are In-Network for most the U.S. insurance plans. Learn to a greater extent than near your breast reconstruction options as well as connect alongside other pectus reconstruction patients here. You tin likewise follow Dr C on Twitter!
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Dr Chrysopoulo is a board certified plastic surgeon specializing inwards the latest pectus reconstruction techniques including DIEP flap surgery. He as well as his partners perform over 500 DIEP flap procedures per twelvemonth as well as are In-Network for most the U.S. insurance plans. Learn to a greater extent than near your breast reconstruction options as well as connect alongside other pectus reconstruction patients here. You tin likewise follow Dr C on Twitter!
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Healty | Breast Reconstruction With Tummy Tissue (Abdominal Flaps)
DIEP flap? TRAM flap? SIEA flap? With in addition to then many pectus reconstruction options available these days it's hard to empathise what these price actually hateful in addition to what the differences are betwixt all these "tummy flap" procedures.
It is of import for women considering these reconstructive options to realize that non all tum tissue options are created equal. For example, a DIEP flap is non the same every bit a TRAM flap only because both provide the exercise goodness of a tum tuck.
Many women are similar a shot rejecting pectus implants preferring to role their ain abdominal tissue for reconstruction subsequently mastectomy. Influenza A virus subtype H5N1 pectus that has been reconstructed alongside the patient's ain tissue typically looks in addition to feels to a greater extent than natural than an implant reconstruction, volition final longer without the long-term complications that tin give the sack live associated alongside implants, in addition to volition every bit good historic menses similar a natural breast. Women wanting to role their abdominal tissue convey iii reconstructive options: TRAM flap, DIEP flap, or SIEA flap.
The TRAM flap is a real mutual pectus reconstruction technique that requires the sacrifice of at to the lowest degree a constituent of the rectus abdominus (sit-up) muscle. There are iii dissimilar types of TRAM flap ("pedicle", "free", in addition to "muscle-sparing free"): the exact type is defined past times the sum of abdominal musculus removed. Unfortunately, TRAM surgical operation tin give the sack live associated alongside meaning post-operative pain, prolonged recovery in addition to a host of abdominal complications such every bit loss of abdominal musculus describe (up to 20% or more), bulging (or "pooching"), in addition to fifty-fifty abdominal hernia.
The DIEP flap physical care for is similar to the TRAM flap except that it spares the rectus abdominus musculus completely. Only pare in addition to obese are removed from the abdomen. This tissue is disconnected from the trunk completely, transplanted to the pectus in addition to re-connected using microsurgery to exercise the novel breast. As the sit-up musculus is saved completely in addition to left behind inwards its natural place, the jeopardy of abdominal complications is much less than alongside a TRAM. There every bit good tends to live less hurting in addition to a quicker recovery fourth dimension because the abdominal muscles are preserved in addition to left inwards place.
Like the DIEP flap, the SIEA (Superficial Inferior Epigastric Artery) flap completely preserves the abdominal muscles. The primary divergence betwixt these 2 procedures is the artery used to provide blood current to the newly reconstructed breast. The “SIEA” blood vessels are to a greater extent than often than non works life inwards the obese tissue only below pare whereas the “DIEP” blood vessels run below in addition to inside the abdominal musculus (making the DIEP to a greater extent than technically challenging). Recovery from the SIEA flap is fifty-fifty easier than the DIEP since the abdominal muscles are non disturbed at all during the surgery.
Despite the similarities betwixt these 2 surgeries the SIEA flap is used much less ofttimes than the DIEP flap because less than 20% of patients convey the appropriate anatomy. Unfortunately, at that topographic point are no pre-operative tests to reliably exhibit which patients convey the appropriate anatomy in addition to the conclusion every bit to which physical care for to perform is made intra-operatively past times the plastic surgeon based on the anatomy works life at the fourth dimension of surgery.
Since the TRAM, DIEP in addition to SIEA procedures all role the patient's lower abdominal pare in addition to fat, all these abdominal flap options provide the added exercise goodness of a tum tuck at the same fourth dimension every bit the pectus reconstruction.
There are many plastic surgeons inwards the US offering TRAM flap reconstruction. Unfortunately, real few centers inwards the US routinely perform the advanced microsurgical procedures similar the DIEP in addition to SIEA flap. Many patients volition hence convey to move for these procedures.
When considering a reconstructive surgeon, ensure he/she is a plastic surgeon certified past times the American Board of Plastic Surgery that has extensive experience alongside this specific type of surgery. Also inquire close the success charge per unit of measurement inwards their hands - most specialists boast a flap survival charge per unit of measurement of 97% to 99%+.
The 2 websites below listing surgeons that offering DIEP in addition to SIEA flap reconstruction in addition to serve every bit a adept starting indicate when researching surgeons:
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Dr Chrysopoulo is a board certified plastic surgeon at PRMA Plastic Surgery. PRMA specializes inwards microsurgical pectus reconstruction including the DIEP flap procedure. PRMA has performed thousands of DIEP flaps in addition to is In-Network for most US insurance plans. On Facebook?.... Connect alongside other pectus cancer patients inwards our FB Breast Cancer Reconstruction Community.
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It is of import for women considering these reconstructive options to realize that non all tum tissue options are created equal. For example, a DIEP flap is non the same every bit a TRAM flap only because both provide the exercise goodness of a tum tuck.
Many women are similar a shot rejecting pectus implants preferring to role their ain abdominal tissue for reconstruction subsequently mastectomy. Influenza A virus subtype H5N1 pectus that has been reconstructed alongside the patient's ain tissue typically looks in addition to feels to a greater extent than natural than an implant reconstruction, volition final longer without the long-term complications that tin give the sack live associated alongside implants, in addition to volition every bit good historic menses similar a natural breast. Women wanting to role their abdominal tissue convey iii reconstructive options: TRAM flap, DIEP flap, or SIEA flap.
The TRAM flap is a real mutual pectus reconstruction technique that requires the sacrifice of at to the lowest degree a constituent of the rectus abdominus (sit-up) muscle. There are iii dissimilar types of TRAM flap ("pedicle", "free", in addition to "muscle-sparing free"): the exact type is defined past times the sum of abdominal musculus removed. Unfortunately, TRAM surgical operation tin give the sack live associated alongside meaning post-operative pain, prolonged recovery in addition to a host of abdominal complications such every bit loss of abdominal musculus describe (up to 20% or more), bulging (or "pooching"), in addition to fifty-fifty abdominal hernia.
The DIEP flap physical care for is similar to the TRAM flap except that it spares the rectus abdominus musculus completely. Only pare in addition to obese are removed from the abdomen. This tissue is disconnected from the trunk completely, transplanted to the pectus in addition to re-connected using microsurgery to exercise the novel breast. As the sit-up musculus is saved completely in addition to left behind inwards its natural place, the jeopardy of abdominal complications is much less than alongside a TRAM. There every bit good tends to live less hurting in addition to a quicker recovery fourth dimension because the abdominal muscles are preserved in addition to left inwards place.
Like the DIEP flap, the SIEA (Superficial Inferior Epigastric Artery) flap completely preserves the abdominal muscles. The primary divergence betwixt these 2 procedures is the artery used to provide blood current to the newly reconstructed breast. The “SIEA” blood vessels are to a greater extent than often than non works life inwards the obese tissue only below pare whereas the “DIEP” blood vessels run below in addition to inside the abdominal musculus (making the DIEP to a greater extent than technically challenging). Recovery from the SIEA flap is fifty-fifty easier than the DIEP since the abdominal muscles are non disturbed at all during the surgery.
Despite the similarities betwixt these 2 surgeries the SIEA flap is used much less ofttimes than the DIEP flap because less than 20% of patients convey the appropriate anatomy. Unfortunately, at that topographic point are no pre-operative tests to reliably exhibit which patients convey the appropriate anatomy in addition to the conclusion every bit to which physical care for to perform is made intra-operatively past times the plastic surgeon based on the anatomy works life at the fourth dimension of surgery.
Since the TRAM, DIEP in addition to SIEA procedures all role the patient's lower abdominal pare in addition to fat, all these abdominal flap options provide the added exercise goodness of a tum tuck at the same fourth dimension every bit the pectus reconstruction.
There are many plastic surgeons inwards the US offering TRAM flap reconstruction. Unfortunately, real few centers inwards the US routinely perform the advanced microsurgical procedures similar the DIEP in addition to SIEA flap. Many patients volition hence convey to move for these procedures.
When considering a reconstructive surgeon, ensure he/she is a plastic surgeon certified past times the American Board of Plastic Surgery that has extensive experience alongside this specific type of surgery. Also inquire close the success charge per unit of measurement inwards their hands - most specialists boast a flap survival charge per unit of measurement of 97% to 99%+.
The 2 websites below listing surgeons that offering DIEP in addition to SIEA flap reconstruction in addition to serve every bit a adept starting indicate when researching surgeons:
www.diepbreastreconstruction.org in addition to www.breastrecon.com
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Dr Chrysopoulo is a board certified plastic surgeon at PRMA Plastic Surgery. PRMA specializes inwards microsurgical pectus reconstruction including the DIEP flap procedure. PRMA has performed thousands of DIEP flaps in addition to is In-Network for most US insurance plans. On Facebook?.... Connect alongside other pectus cancer patients inwards our FB Breast Cancer Reconstruction Community.
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Healty | Finding the Best DIEP Flap Surgeon for You
If y'all are considering DIEP flap thorax reconstruction, finding the correct surgical squad is key. Before deciding which surgeon is the best DIEP flap surgeon for you, consider bespeak the next questions:
Dr C
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- Are y'all certified past times the American Board of Plastic Surgery? Your surgeon should live a board certified plastic surgeon amongst extensive preparation together with sense inwards microsurgery.
- How much sense create y'all cause got amongst this type of surgical operation - How many cause got y'all performed? It is preferable that your surgeon has successfully performed over 100 DIEP flap reconstructions.
- What's your success rate? Top specialist centers boast a success charge per unit of measurement of at to the lowest degree 98%.
- How long does the surgical operation take? This volition vary betwixt institutions based on experience. The nearly experienced surgeons typically bring betwixt 3-6 hours depending on whether i or both thorax are beingness reconstructed (not including the mastectomies).
- How oftentimes create y'all conception to perform a DIEP flap but destination upward changing the physical care for to a gratuitous TRAM flap during the surgery? The "conversion rate" to a gratuitous TRAM flap should live rattling low.
- How many microsurgeons volition live performing the surgery? Since the DIEP flap physical care for tin plow over the sack live together with then technically demanding, it is preferable to cause got ii microsurgeons performing the surgical operation rather than only one. Not exclusively volition this ensure y'all create goodness from the expertise of ii particularly trained surgeons, but it volition likewise significantly cutting downward the length of the physical care for together with anesthesia time.
- Do y'all cause got residents or fellows? Will they live performing whatever of my surgery? Some centers cause got surgeons-in-training known every bit "residents" or "fellows" that may live helping amongst your surgical operation or fifty-fifty performing business office of it. This may or may non live something y'all are comfortable amongst considering the complexity of the surgery.
- Do y'all "balance bill"? Centers similar PRMA that are in-network for nearly insurance plans volition enquire the patient to pay ONLY what's pose out past times the patient's insurance conception (ie copay, deductible, etc). Other centers "accept insurance" together with volition oftentimes assist the patient travel coin dorsum from their insurance fellowship - however, the patient is soundless expected to furnish the departure betwixt what the insurance pays together with the doctor's fee. This is known every bit "balance billing". Make certain to enquire ahead of fourth dimension to avoid nasty fiscal surprises downward the line.
- Do y'all cause got Insurance Specialists on staff? Unfortunately, roughly patients volition expression upward difficulties inwards gaining access to DIEP flap specialists fifty-fifty though insurance companies are federally mandated to pay for the toll of thorax reconstruction. Here over again it pays to assay out centers that specialize inwards these procedures every bit typically an insurance specialist is available to assist patients amongst insurance issues. Again, this tin plow over the sack preclude a nasty fiscal surprise afterwards your surgery.
Dr C
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PRMA Plastic Surgery has successfully performed several one thousand microsurgical thorax reconstructions, together with typically performs over 500 DIEP flaps per year. We specialize inwards advanced breast reconstruction procedures that role the patient's ain tissue. Procedures offered include the DIEP flap, SIEA flap, GAP flap, together with TUG flap. We are In-Network for nearly the States insurance plans. Patients are routinely welcomed from across together with exterior the USA. Connect amongst other thorax cancer reconstruction patients at www.facebook.com/PRMAplasticsurgery.
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Healty | Abdominal Muscle - Why Save It?
Most women that accept looked into thorax reconstruction know almost the TRAM flap. The TRAM uses lower abdominal skin, fat, as well as varying amounts of abdominal musculus to reconstruct a "natural", warm, soft thorax subsequently mastectomy. The TRAM used to live the gilded criterion inwards thorax reconstruction, but non anymore.
Over the years, the TRAM flap physical care for has evolved into ii to a greater extent than advanced procedures that decrease the direct chances of abdominal complications: the DIEP flap as well as the SIEA flap. Both role the same lower stomach peel as well as fatty but different the TRAM, both SAVE all the abdominal musculus as well as acquire out it inwards place.
The SIEA flap differs from the DIEP flap exclusively inwards price of the blood vessels that render the tissue. While the surgical training is slightly different, both procedures spare the abdominal musculus completely as well as exclusively role the patient's peel as well as fatty to reconstruct the breast.
The SIEA flap differs from the DIEP flap exclusively inwards price of the blood vessels that render the tissue. While the surgical training is slightly different, both procedures spare the abdominal musculus completely as well as exclusively role the patient's peel as well as fatty to reconstruct the breast.
All 3 procedures provide the added produce goodness of a flatter abdomen amongst results that mimic a “tummy tuck”. However, because the TRAM flap sacrifices abdominal muscle, the direct chances of a hernia or abdominal bulging is signifantly higher than amongst the DIEP or SIEA procedures.
Since the DIEP as well as SIEA flaps save all the abdominal muscles, patients sense less hurting than subsequently TRAM flap surgery, relish a faster recovery as well as likewise keep their abdominal pull long-term.
I promise this information helps.
Dr C
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PRMA Plastic Surgery specializes inwards advanced thorax reconstruction including DIEP flap, SIEA flap, GAP flap, TUG flap, Alloderm One-Step as well as fat grafting. In-Network for most the States insurance plans. Patients routinely welcomed from across the USA. Please telephone telephone (800) 692-5565 or e-mail patientadvocate@PRMAplasticsurgery.com to acquire to a greater extent than almost your thorax reconstruction options. Connect amongst other thorax cancer reconstruction patients at www.facebook.com/PRMAplasticsurgery.
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Healty | My DIEP Flap Journey - Why I traveled from California to San Antonio for my Breast Reconstruction
A big "thank you" to Sharon Pira from Monterey, California for sharing her DIEP flap journeying amongst us....
"I was diagnosed amongst thorax cancer inwards September 2011 too underwent the whole routine of chemo-therapy, radiations too a total mastectomy of my left thorax inwards March 2012. After all of my handling was consummate I began looking into my options for thorax reconstruction. My local MD advised against an implant (because of the lawsuit of radiations on the area) too thence he suggested the TRAM flap every bit the best selection for me which I agreed.
In May 2012 I attended a women's conference inwards Scottsdale, AZ which was life-changing inwards itself, nevertheless I had no consider only how incredible this trip was going to plough out. On sun I got on a shuttle to the Phoenix drome along amongst unopen to other adult woman too every bit the driver pulled away I turned to her too asked, "Were yous hither for the women's conference?" She said, No, I am a thorax cancer surgeon from San Antonio, TX too was hither for a thorax cancer symposium. I removed the chapeau I was wearing to expose my soundless really bald caput too she proceeded to enquire me questions virtually my treatment. She asked what variety of reconstruction I was having too I told her virtually the Tram flap. She asked if I knew virtually the DIEP flap? I explained that I had a friend inwards San Jose who was having the DIEP flap functioning but that no 1 inwards my expanse performed this procedure. She gave me her carte du jour amongst the information virtually PRMA too said I should at to the lowest degree cheque out their website. We hugged at the drome too I thanked her for the info!
When I returned habitation I went online to the PRMA website too was amazed past times the earlier too after pictures too genuinely flora a painting of a adult woman who looked only similar me too I could non acquire over how keen she looked 1 yr later. So I called the hospital too scheduled an appointment...
After sending my paperwork for insurance approving I was able to schedule my surgical physical care for for August. Everything from offset to halt went incredibly polish too I am too thence grateful to the staff of PRMA for their amazing back upwards too tending during my infirmary remain too my follow upwards appointments. I experience too thence blessed... too am thrilled amongst my results! It feels too thence adept to bring my novel thorax created from my really ain trunk too my friends are all jealous of my incredible tum tuck - Wow, what a bonus!"
Thanks over again Sharon!
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"I was diagnosed amongst thorax cancer inwards September 2011 too underwent the whole routine of chemo-therapy, radiations too a total mastectomy of my left thorax inwards March 2012. After all of my handling was consummate I began looking into my options for thorax reconstruction. My local MD advised against an implant (because of the lawsuit of radiations on the area) too thence he suggested the TRAM flap every bit the best selection for me which I agreed.
In May 2012 I attended a women's conference inwards Scottsdale, AZ which was life-changing inwards itself, nevertheless I had no consider only how incredible this trip was going to plough out. On sun I got on a shuttle to the Phoenix drome along amongst unopen to other adult woman too every bit the driver pulled away I turned to her too asked, "Were yous hither for the women's conference?" She said, No, I am a thorax cancer surgeon from San Antonio, TX too was hither for a thorax cancer symposium. I removed the chapeau I was wearing to expose my soundless really bald caput too she proceeded to enquire me questions virtually my treatment. She asked what variety of reconstruction I was having too I told her virtually the Tram flap. She asked if I knew virtually the DIEP flap? I explained that I had a friend inwards San Jose who was having the DIEP flap functioning but that no 1 inwards my expanse performed this procedure. She gave me her carte du jour amongst the information virtually PRMA too said I should at to the lowest degree cheque out their website. We hugged at the drome too I thanked her for the info!
When I returned habitation I went online to the PRMA website too was amazed past times the earlier too after pictures too genuinely flora a painting of a adult woman who looked only similar me too I could non acquire over how keen she looked 1 yr later. So I called the hospital too scheduled an appointment...
After sending my paperwork for insurance approving I was able to schedule my surgical physical care for for August. Everything from offset to halt went incredibly polish too I am too thence grateful to the staff of PRMA for their amazing back upwards too tending during my infirmary remain too my follow upwards appointments. I experience too thence blessed... too am thrilled amongst my results! It feels too thence adept to bring my novel thorax created from my really ain trunk too my friends are all jealous of my incredible tum tuck - Wow, what a bonus!"
Thanks over again Sharon!
*****
PRMA Plastic Surgery specializes inwards advanced breast reconstruction including DIEP flap, SIEA flap, GAP flap, TUG flap, Alloderm One-Step too fat grafting. In-Network for most USA insurance plans. Patients routinely welcomed from across the USA. Please telephone phone (800) 692-5565 or e-mail patientadvocate@PRMAplasticsurgery.com to larn to a greater extent than virtually your thorax reconstruction options. Connect amongst other thorax cancer patients at facebook.com/PRMAplasticsurgery.
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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
*****
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
*****
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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