• Post op care after Latissimus flap with or without an implant, or TAP flap 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 output 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 narcotic 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 surgery.
    • Call the office immediately if you notice signs of infection in the reconstructed breast: redness, warmth, or unexpected drainage.