PENN Hospital MI-Diep w. Dr. Kanchwala -Had Anyone?
I'm hoping someone(s) has had the new MI-Diep Flap recently, done by Dr. Kanchwala at Penn Hospital. It's a new technique he and colleagues developed that is supposed to be minimally invasive to the abdomen, causing a lot less pain, and much quicker recovery. Because they don't have an arrangement available to contact previous patients, I am really hoping someone can let me know of their experience. I consulted and have seriously considered going with them for a one sided diep flap, but now have real concerns--so hoping to hear from a recent patient to get some clarity.
How did I get here? Over a year ago, diagnosed& almost immediately met with a PS (highly regarded with over 100 5 star reviews) I had surgery, a TE placed & expanded, treated with chemo etc., finished all infusions late february. More than ready to shuck this annoying bloated TE, but..what to do? The mastectomy recovery process seemed long and painful, and I don't want to repeat that. Ever since I have grappled with choice--what should I do- go flat, do implant or diep? It's been really difficult and I have read a whole lot about other's experiences which has been helpful.
Aside from being concerned with the recovery itself, I worry about the time factor. I feel I need to be there for a family member who is going thru the worst time of her life, and is in a precarious state & needing support.
To make a long story shorter, the PS I saw, had recommended diep flap initially. My onc. strongly recommended a implant as a much easier surgery, and I consulted again with the PS. He ended up saying let's do an implant instead, esp. as you have a lot of tissue and it could lead to problems with healing. He could figure out which implant in the operating room (while under anesthesia) I don't know if this change in surgery recommendation was because I expressed concerns, my "fat" or what. But in a short meeting to suddenly change recommendations, has really thrown me-esp. as I know little about it and it had not been the plan.
So, once again agonizing what to do, where to go? Lo and behold, a week later I see this article in breast cancer.org, about the new technique, much less invasive, with shorter hospital stay, and less painful, quicker recovery. Seemed so like the answer- and I had a consult in Pennsylvania. The initial reviews I read, with one minor exception (bulging stomach resulting) of a few years ago, before the intro of this new surgery, seemed encouraging. Then I happened to read a different site, much more mixed- both good and less so. Of particular concern, a person consulted, but didn't like the impression made,she claims that months later 4 persons who had initially recommended Penn & Dr. K. then relayed they were in constant pain daily as a result of this operation--pain is definitely not what I am looking to achieve! This 'review' was put out 3/29/19-so very recent.
Really concerned, I put in the search engine here for Dr. Kanchwala. I found one person recently a patient of Dr. Kanchwala, and this new technique, and I read her posts. At first, things were great, but then apparently months of open wounds and treatment before healing. I don't know if this was a fluke, or a real possibility to happen again with this dr. , team and technique. From being eager to go ahead, esp. after feeling dumped by the original PS, I now have serious concerns. Although I will ask them about that experience and why it happened, I so hope to hear of others that have recently done the mi-diep at Penn with Dr. Kanchwala, and their experience, good, bad or mixed.
I will also verify if the original plastic surgeon changed proposed procedure in response to my perceived worries, or because genuinely concerned about healing okay. Other than that, I am checking with NOLA that I had initially contacted a year ago, but wasn't able to follow up at that time. The PS is local, PENN is out of state,but an hour away by train, and NOLA is a plane ride away.
Any help or knowledge anyone might be able to share, esp. experience of this new procedure would be so very appreciated and helpful. Many thanks in advance.