Tram flap hernia

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Regular Member

Date Joined Aug 2003
Total Posts : 76
   Posted 7/8/2007 1:32 PM (GMT -7)   
Hello All,
I had a tram flap in 2000 at the time of my mast. Shortly after I was dx with a hernia as a result of the surgery. Those who rememeber me from that time may remember I had a surgeon who did a bum job and had horrible bedside
manner. She didn't seem to care about my discomfort and I just let it go.  It however has never let me go. It bothers from time to time as far as pain goes but it's the larger stomach area that really bothers me.  It seems it has gotten bigger in the last year or so but maybe it's just because I am just tired of it.
I have been working out trying to lose weight in general and shape up my tummy in particular I am not making progress in either. I know MK had a horrible infection that involved a hernia after her tram flap and I don't think it was ever totally resolved. Has anyone else here had this problem?  If so how did you handle it?  I am thinking I should have my primary care Dr. look at it and then see if I need to see a surgeon and get it checked out  I had a ultrasound back in 2000 and cat scan which I have requested copies but would probably need to have them done again.
Thank God I did go to another surgeon several years after my intial surgery to have my tram breast "reconstructed" again and the other breast adjusted to give more of a balance and though it took two tries on both breasts they came out really good.  My nipple came out good also.  Now if I could only get a more normal looking tummy it would be so great.
Thanks in advance for any help, advice, suggestions.
God bless,

Veteran Member

Date Joined Jul 2003
Total Posts : 1564
   Posted 7/8/2007 4:51 PM (GMT -7)   
Hi, Tru. So glad to see your posts. I thought I had a hernia a few years ago. My family doctor takes a rotation running a free clinic in Guatamala 6 weeks a year, and that was during his six weeks, so I agreed to see another doctor. I explained about the brca and TRAM reconstruction and the increased risk of herniation (I didn't have any mesh put in at all), and she nodded as if she understood. She started to examine me, admired my tummy scar and asked who had done the work, said what an excellent PS he was...and then she said, "hmmm...I'm looking for the RA muscle, and I can't seem to find it..." I had a hard time being nice when I had to explain to her that, if she wanted to find my RA muscle, she would have to look a little higher than the groin area, because mine was on my chest. I just went to see the PS after that debacle, and he pronounced me hernia-free.

I've also been battling the post-menopausal "bulge." I had to put my husband on a diet, so I went on it with him. The Atkins was his choice, and I've got to say, it works. I've lost about 30 pounds since January, and still have 10 or so to go before I get down to pre-chemo/menopause weight. The best eradicated the heartburn I'd been battling since I started chemo as well. I haven't had a pepcid or Nexium or Prilosec since day 3 of the diet. For that reason alone I would never even think about going back to my old eating habits.

I've had to go through a couple of rounds of physical therapy for my back (I developed scoliosis from the TRAM), and that has really helped get the tummy in shape. I spend a lot of time on what Joyce lovingly refers to as the "naughty ball." is good! Even after brca.

Take care, and don't be such a stranger!

Love and hugs...

Veteran Member

Date Joined Jul 2003
Total Posts : 2921
   Posted 7/10/2007 2:53 AM (GMT -7)   
Hi Tru, I meant to answer you yesterday but the news about Chris hit me and I ran. My hernia is the result of having all abdominal muscles removed from side to side breast to groin. It is a hernia the size of a twins pregnancy at 9 months, with nothing holding it up but artificial means. I wear three binders now to give support. It has been over seven years and I am tired of not being able to do things I really would like to do, like plant a flower garden.

Today I have the dubious joy of showing up for jury duty. It is an old court house and I am sure the air conditioning is probably not great. Who knows where they might herd us through the process. I am taking my electric scooter because there is no way I can walk with a group. Hopefully they will decide they don't need an old woman with a scooter in the courthouse. My husband is going with me to help me get in and out of the van and courthouse. Surely they won't keep me????

My daughter also had a tram flap and her tummy is quite soft. Whatever happened to the wonderful tummy tuck we thought we were getting? I have no answer to your question, I reallly can't get my own answered. I swear my belly is full of fluid, but when I had a sonogram to check the tech spent all her time looking at my gallstone, she never went lower where I feel the fludi. Oh well I have no infection at least.

Come back more often.

Hugs, MK

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