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DIEP flap breast reconstruction refers to the reconstruction of the breast after a mastectomy using tissue from the lower abdomen. The surgery gets its name from the Deep Inferior Epigastric Perforator (DIEP) tissue of the abdomen from which the graft is taken. This breast reconstruction procedure offers the benefit of a tummy tuck too and is preferred over other reconstruction procedures as it does not affect the stomach muscles. This article tells you about what you can expect after the surgery.

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About the DIEP Flap Procedure

In this advanced breast reconstruction procedure, a flap of tissue comprising blood vessels (perforators), skin and fat is removed from the lower abdomen and transferred to the chest. The plastic surgeon then attaches the blood vessels of the donor tissue to the blood vessels in the chest and reconstructs the breast. This delicate procedure provides a natural-looking breast and improved abdominal contour while preserving core strength. With a certified, experienced plastic and reconstructive surgeon performing the surgery, patients can expect a quick recovery and minimal pain.

Your plastic surgeon will first evaluate you thoroughly to ensure that you are a good candidate for DIEP flap breast reconstruction. The patient should discuss her concerns and expectations with the surgeon as well as the measures to e followed to ensure a smooth and quicker recovery. Sufficient soft tissue is needed in the lower abdominal area for removal to the chest. A patient undergoing chemotherapy would have to wait for approximately 4 to 6 weeks before going in for the procedure. A 6-12 week gap is recommended for patient going through radiation therapy. This is because the skin needs time for healing from the effects of radiation.

A skilled surgeon can ensure that the breasts have a natural look and feel. In most cases, an additional surgery and a fat grafting procedure may be needed after DIEP flap breast reconstruction to improve symmetry and appearance. The areola may have to be recreated.

The surgery would take around 6 to 12 hours and you may have to stay in the surgical center for three to four days. Drainage tubes might be attached to the area for the removal of excess fluids. The tubes have to remain in place till the time there is a decrease in drainage. Stitches are absorbable and do not have to be removed. In most of the cases, there would be scarring but it would fade with time. Around 4 to 6 weeks may be needed for complete recovery. More than anything, rest would be advised. Heavy lifting should be avoided. It is said by some women that they feel completely normal after 1 year of DIEP flap breast reconstruction.

Kidney is a very essential organ of our body. It is responsible for getting rid of the toxins and maintaining the chemical balance of the body. Unfortunately, with changing lifestyles and uncaring attitudes, kidney failures have increased with time. Excessive alcohol consumption is the most common cause of kidney failure in India, others include diabetes, chronic and uncontrolled blood pressure, scarring of tiny kidney filters, polycystic kidney disease. Thousands of unrelated donor kidney transplants in India takes place every year and most of them have shown amazing results except a few rare cases.

Though an unrelated donor is not related to the patient biologically, but usually, he or she has some emotional relationship with the patient. Most of the times unrelated donors are close friends of the patient or colleagues. There are specialized unrelated donor transplant centers that provide complete assistance from the legal formalities to the surgery and recovery of both the patient and donor.

Kidney donation through an unrelated donor requires a written consent of the donor and confirmation from the government officials before the donation takes place. The doctors are responsible for explaining the whole procedure to the donor and the complications that may arise after surgery.

Before the kidney transplant, there are a few tests that take place that make sure that the donor and the patient are compatible for the transplant. These tests include the physical overall health of the donor, if the blood group of the donor and the patient are compatible for the transplant etc.

Kidney transplant through an unrelated donor has the same risks and complications involved as the related donor kidney transplant. Some of them include bleeding, clotting, infection, failure of the donated kidney or rejection of the donor kidney. The doctors provide medication that helps the body to accept the new organ. With time as the new kidney settles in the patient's body, the medications reduce and most people get rid of them completely. But there are a few cases where the patients' had to maintain the consumption of medicines to keep the body from rejecting the new organ.

The medications provided to reduce the chances of rejection can have their own side effects like, acne, bone thinning (osteoporosis) and bone damage, diabetes, excessive hair growth or hair loss, high blood pressure, high cholesterol, increased risk of cancer, particularly skin cancer and lymphoma, infection, puffiness (edema) or weight gain.

Unrelated donor transplant has solved the problem of the large number of deaths happening due to the shortage of donor kidneys. It has helped thousands of people to live normal lives without the support of dialysis and other medications.

Kidney transplant is a complex and difficult surgery, that's why it is extremely necessary to take care of the organ and maintain a healthy lifestyle in order to live a long and healthy life. The procedure is performed under general anaesthesia which is given by a specialized doctor. The heart rate, blood pressure and the blood oxygen level is kept under scrutiny throughout the procedure by the surgical team so that no complications occur. The surgery takes place through an incision which is sealed with the help of stitches.

Once the surgery is successfully completed, the patient is kept in the hospital for about 4 to 7 days until the doctors deem it comfortable for the patient to leave the hospital's care. At home, the patient's family has to make a few changes in day to day lives until the patient completely recovers. Other than this, the patient is supposed to maintain lợi ích khi hiến máu regular check ups with his or her doctor and take immunosuppressants so that the body doesn't reject the new kidney.

Some of the simple ways to maintain your health are by giving all the essential nutrients to your body which helps the helps in its smooth functioning and engaging in regular exercise. When a person exercises, the body releases toxins and fluid in the form of sweat thus reducing the pressure on the kidneys. Moreover, one should not take any medications (or too many medicines) until and unless prescribed by the doctor. Drugs not only disturb the chemical balance of the body, but also hinder the functioning of the kidney if not taken wisely.