Discharge Instructions – LD Flap

  • Post op care after Latissimus flap with or without an implant, or TAP flap reconstruction :

    • Drain care:
      • o    Strip, empty, record output, and recharge. See instruction sheet.
      • Keep daily log of drain outputs for each drain separately.
        Call the office to schedule an appointment when drain out - put is less than 30 mL over 24 hours for two consecutive days for any drain. See log form.
      • Clean the drain exit site 1-2 times daily with peroxide and water or soap and water.
    • Incision care:
      • If Dermabond (skin glue) used - leave open to air.
      • If Steri-Strips used - leave in place until they fall off.
      • If Tegaderm used – leave in place two weeks.
    • Wear a gentle compression, non-underwire support bra for comfort or to help manage securing the drains.
    • Ok to shower.
    • Try to avoid lying on the back incision, if possible.
    • No strenuous activity.
    • Walk a lot, stairs are ok.
    • Avoid heavy lifting for 4-6 weeks.
    • Take an over-the-counter stool softener (ex. Colace) while taking nar-cotic pain medicine.
    • If constipation becomes an issue take Milk of Magnesia or Miralax until bowel function normalizes. Both can purchased over-the-counter
    • If you find yourself taking scheduled narcotics beyond the first week start taking ibuprofen (600 mg every 6 hrs) to wean off the narcotics

    If an implant (or tissue expander) was used for your reconstruction:

    • Avoid raising your arm(s) above your head for the first 2 weeks after sur-gery.
    • Call the office immediately if you notice signs of infection in the recon-structed breast: redness, warmth, or unexpected drainage.