I've undergone a lumpectomy with sentinel node biopsy on October 23; then ended up back in the hospital on October 24 due to a hematoma the size of my surgeon's hand. After that they kept having to remove fluid and finally I ended up with a staph infection and on IV antibiotics for two weeks. The path report then showed the margins were not satisfactory and a mastectomy was recommended especially since one of the lymph nodes was positive. I then had a mastectomy with reconstruction surgery--the TRAM procedure. While in the hospital within the second day, I had to have 4 blood transfusions, had pneumonia in both lungs and ARDS and an ileus. Basically at first they thought I wouldn't survive. After all that I am now having problems again with fluid buildup and the TRAM (breast) feels extremely hard. What I want to know is after a TRAM did you have fluid buildup and the breast feel extremely hard and painful. Following all of my earlier surgeries I needed no pain medication. I am in some pain now and don't understand why (two months later). Please anyone who has undergone this procedure write me and let me know of any problems they had. Thank you for your help.