Hi Terese
I also had previous radiation treatment to my right side - once for breast cancer & once for scapula. When diagnosed again and researching my options, I made the decision to go with a double mastectomy & immediate tram flap recon. I am currently 3 weeks post surgery so can only give you a short term view on tram flap only but hope it helps you...
The surgery is long - I was under over 13 hours. Waking up is a blur, only really remembering 6 drains and a catheta coming out of me and the hospital bed in a 'banana lounge' sort of position to take pressure of my belly.The first week is the worst, a blur of nurses checking the flaps eavery hour initially (or more) and then every few hours. Your breasts are kept warm with additional blanket to encourage blood flow. You are "assisted" out of bed on the second day - torture, cruel... but you get through - you have access to adequate pain relief.
Getting out of bed on day 3 was also difficult, however each day became easier. You will only be able to have someone give you a sponge bath. One of the nurses washed my hair on about day 4 - heaven!!! By about day 7 I felt like I was well enough to go home.
I had the final drains removed on day 9 and was able to go home with a community nurse visiting every few days to change a dressing on my right side where the previously radiated skin had not completely healed. I really started to feel better each day being in my own home. I have made the effort each day to walk around the block - slowly and with company of course. Nights are the worst, trying to get comfortable, but I got that sussed quickly with 2 pillows under my knees and 2 under my head but I'll try to gradually get back to normal. I've only really take panadol as pain relief since being home and the community nurse thinks that my right side will be well and truly healed by the time I see my amazing surgeon on the 24th Sept.
Would I go through all this again..? Not tomorrow, but yes, even at this early stage I can see light at the end of the tunnel. I think the worst is over.. I probably would....
I hope this helps you. Good luck & take care
Nadene