Posted 1/6/2011 7:21 PM (GMT 0)
Following bilateral mastectomy 12 years ago, I immediately underwent TRAM flap reconstruction, and I too was told just before surgery that whenI awoke I would feel like I had been hit by a MAC truck - and yes, I did. The morphine pump only took the edge off the pain. I think I had about 10 pillows propped around my body. They did get me up the next day and sit me in a chair, but had to immediately give me Phenergan in my I.V. before I made it out of bed - the nausea set in and the last thing they wanted was for me to start vomiting. I was up walking a little by the 2nd post-op day. After a 5 day stay, I came home, but most of my time was spent in a recliner. I was able to sleep in bed, by myself, with pillows all around me and could only lay in one position all night. It took a while to walk upright without being stooped over, and the pain did last for quite some time. However, I had to begin chemo 3 weeks later, so the wretching and vomiting didn't make things any easier. I survived, but some pain lingered over the next 1-2 years, but I was able to go about my daily routine following the end of the chemo. I chose the TRAM, as I had been told 2 years prior that I had Lupus. As it turned out, I did not have Lupus. The year leading up to my cancer diagnosis, I lost a lot of weight and had no tummy fat to speak of, but my plastic surgeon used what I had as well as my rectus muscles. It was more or less a waste of time, pain and money. A few months after chemo, I had saline implants placed and was much more satisfied. If any one is thin, as I was, I would never recommend a TRAM. For me, the benefits were not worth it, but I know everyone is different. I'm in no way trying to discourage you; just do a lot of research. As for me, I would certainly have gone with tissue expanders and implants, however, my plastic surgeon strongly suggested the TRAM and I was at a very vulnerable place at the time. Best of luck to you.