Discharge Instructions – Thigh or Gluteal Flap

  • Post op care after Thigh or Gluteal flap breast reconstruction:

    • Drain care:
      • 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.
    • Incision care:
      • If Dermabond (skin glue) used – leave in place, it will fall off.
      • If Steri-Strips used - leave in place until they fall off.
      • If Tegaderm used – leave in place two weeks.
    • Keep dry dressing over thigh/gluteal incision, some drainage should be expected.
    • Unless instructed otherwise, wear a sports bra (non-underwire bra) at all times for two weeks and during activities for 6 weeks. See bra summary form.
    • Ok to shower.
    • Avoid sitting, particularly for prolonged periods for the first two weeks.
    • Walk a lot, stairs are ok.
    • No strenuous activity for two 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
    • Do not drive while taking narcotic pain medicine
    • If you find yourself taking scheduled narcotics beyond the first week start taking ibuprofen (600 mg every 6 hrs) to wean off the narcotics.
    • Expect to be run down for the first 10-14 days. By the end of the second week energy levels should be greatly improved.