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Mastectomy with Flap Reconstruction Questions about Mastectomy with Flap Reconstruction. |
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| 5/12/2011 | After a DCIS diagnois 5 years ago I had a lumpectomy and radiation. Now, DCIS and invasive cancer (less than 3mm) have been discovered in the same (left) breast. A mastectomy with a latissimus flap with extender reconstruction has been recommended. I was told that I was a poor candidate for abdomen procedures because of previous surgeries in the abdomen area(colon resection for colon cancer 18 years ago, C-section delivery 25 years ago, and a gallbladder removal 28 years ago.) I am nervous about getting a surgery that "messes with" back muscles since my right shoulder is already compromised by a torn rotator cuff. I'd like to keep the left shoulder as strong as possible. Are there new abdomen procedures that I might be a candidate for? Are there other procedures that I might be able to use? Many thanks. | ||
| Replied | JHU's Breast Center Reply | ||
| 5/12/2011 | My goodness, you have been on a journey. Have you considered implant reconstruction (could be wither saline or silicone), as opposed to autologous reconstruction (using your own tissue)? Another flap procedure, but not abdominal, might be the SGAP (superior gluteal artery perforator), where tissue from the top of the buttocks is used. Another flap procedure might be the LSGAP (lateral septal gluteal artery perforator) a modification of the SGAP. We perform all of those plastic reconstructive breast surgeries, and more, here @ Johns Hopkins. Make sure you surgeon is Board Certified, highly skilled and experienced, when choosing a surgeon for these types of surgery. Go to our web site: http://www.hopkinsmedicine.org/plastic_reconstructive_surgery/reconstructive_surgery/reconstructive_surgery_after_breast_cancer.html to look further at our services. Best wishes! | ||
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