@Acinonyx2 I had a mastectomy + DIEP flap reconstruction, with a reduction on the other breast ‘for symmetry’, as the surgeons are fond of saying. I also had 11 nodes removed, with just one testing positive, thankfully. The surgery was long - 11.5 hours (I’d never had surgery before, so that was quite an introduction!) But I’m very glad I had the mastectomy, as there were still cancer cells present in the tissue that was removed. I was also grateful that I could have the reduction at the same time, or else I’d have been very lopsided.
I was in hospital for four nights (in mid-Dec; they were discharging patients quicker than usual to minimise COVID risk) and the first 24hrs were tough, as the blood supply to the reconstructed breast needed checking every half hour to begin with, then every hour, so there wasn’t much chance to sleep. Pain relief was more than adequate: I had a self-administered opioid (fentanyl, I think) available for the first 12 hours, along with paracetamol (IV and tablets) and ibuprofen, which I took for a couple of weeks. I was surprised how effective they were, tbh.
After the op I had a catheter, which was removed on day 2 of my recovery, and four drains, which were by far the most uncomfortable part of the experience. All were removed by day 4, before I went home.
Sitting up unaided was all but impossible on day 1, but the physio still had me out of bed and shuffling a couple of steps to sit in my bedside chair. By day 3 we were walking laps of my room and my strength/stamina improved little by little each day. I’m normally very active so, once home, the toughest part was having to rest constantly and relying on DH and DD to do the simplest of tasks for me - even now I’m having to ask DH to lift heavy things for me or reach items on high shelves.
I was unfortunate in that I developed a haematoma in the reconstructed breast that needed emergency surgery 3 weeks after the initial op, but that’s rare. I also had a seroma in my armpit that I had drained a couple of times, and a spontaneous bleed on the reduced breast (that was a fun morning!) but everything now seems to be healing OK and I’m regaining a lot more mobility in my left arm.
Despite the complications, and the longer surgery and recovery time, I’m pleased I had the DIEP reconstruction. I’d be happy to go into more detail about any of it, if that helps. And I’m sure that recovery would be quicker for a mastectomy without DIEP.
Good luck with tomorrow’s chemo, always great to tick another one off.