Topic: Anyone had omental flap reconstruction?

Forum: Breast Reconstruction — Talk with others facing decisions about whether or not to have breast reconstruction, and if so, what type and when.

Posted on: Jul 11, 2021 09:29AM

Posted on: Jul 11, 2021 09:29AM

Lifo45 wrote:

Hi,

I'm considering omental flap reconstruction (a technique by which omentum from the abdominal area is used to reconstruct a breast). Has anyone had this procedure done? If so, I would love to heat from you.

I'd love to learn how that experience went for you in terms of hospital stay, recovery at home, pain/scarring, and any side effects of complications. Thanks!

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Jul 11, 2021 11:48AM trishyla wrote:

I've never heard of an omentum reconstruction procedure. Do you mean a DIEP flap, or TRAM flap procedure? Those are common reconstructive surgeries after a mastectomy. Both use abdominal fat, tissue and veins to rebuild a breast. If that's the case, you will probably get more responses if you post a question using those terms.

If it is actually called "Omentum" reconstruction, maybe you can elaborate, as it doesn't seem to be a procedure any of our members are familiar with.

Good luck. I hope you find the answers you're looking for.

Trish

Dx 8/30/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Dx 8/30/2016, IDC, Right, 1cm, Stage IA, Grade 3, 0/1 nodes, ER-/PR-, HER2- Dx 9/6/2016, IDC, Left, 1cm, Stage IIA, Grade 2, 1/2 nodes, ER+/PR+, HER2- Chemotherapy 9/28/2016 AC + T (Taxol) Surgery 4/4/2017 Lymph node removal; Mastectomy; Mastectomy (Left); Mastectomy (Right); Reconstruction (Left): DIEP flap; Reconstruction (Right): DIEP flap Chemotherapy 8/5/2017 Xeloda (capecitabine)
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Jul 11, 2021 12:52PM Lifo45 wrote:

To clarify for those who are curious, omental flap reconstruction is not the same as DIEP or TRAM. So no, I don't mean DIEP or TRAM.

Women who have had omental flap can chime in. I would love to know how experience went for you in terms of hospital stay, recovery at home, pain/scarring, and any side effects of complications.


For those who are not familiar with the procedure and are curious about it, it's covered in the major cancer journals. Here's a link to one of many papers on the technique.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC59687...


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Jul 12, 2021 09:49AM exbrnxgrl wrote:

Lifo45,

Like trishyla, I have not heard of an omental flap. Thank you for the explanation. Did you try using the search function to see if anyone has previously posted about this procedure? Take care

Dx IDC, Left, 4cm, Stage IV, Grade 1, 1/15 nodes, ER+/PR+, HER2-
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Jul 14, 2021 01:58PM - edited Jul 14, 2021 02:00PM by wallycat

Here are some studies with outcomes....not sure how helpful but something to start you with.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC59687...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC55717...

https://gs.amegroups.com/article/view/41380/html

https://abs.amegroups.com/article/view/6636/html



Dx 4/07 1 month before turning 50; ILC 1.8cm, ER+/PR+, HER2 neg., Stage 1, Grade 2, 0/5 nodes. Onco score 20, Bilateral Mast., tamoxifen 3-1/2 years, arimidex-completed 4/20/2012
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Feb 10, 2022 04:30PM - edited Feb 14, 2022 01:18PM by sdrayton

Hi, Lifo45.

I hope I'm not too late for you with this info.

Yes! I had an omental flap reconstruction in November of 2020 and am pretty thrilled with the results. I was patient #17 at Stanford Hospital to undergo the procedure for my DCIS local recurrence after nearly 17 years (!) in remission. Aside from my initial lumpectomy, it's the only surgery I've ever undergone, and it was a success.

It was a 13 hour procedure. I know, an eternity. I stayed four nights in the hospital, a night longer than expected due to my GI system not cooperating with the pain killers (opioids). The most difficult part of the recovery was from the laparoscopic procedure in my abdomen. They have to cut through muscle, so that was pretty sore, but it was the unexpected pain in the front of the shoulders due to them injecting me with gas to perform the laparoscopy. It lasted about four days.

I'm happy to share more info if you need it. Please DM me.

Take good care.

Dx 11/17/2003, IDC, 6cm+, Stage IIIA, Grade 1, 2/8 nodes, ER+/PR+, HER2- Dx 9/10/2020, DCIS, Right, 1cm, Stage 0, ER-/PR-

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