Difficult to Drain Seroma Post Tummy Tuck, Hysterectomy, Liposuction Followed by Emergent Cholecystectomy?
- Asked by Steelcitysiren
- 11 months ago
GB out emergently 20 days PO via lap. Now difficult to drain seroma. POD 3= seroma so PS aspirated w/ 20g; saw the wave but very little fluid. Tried drain placment-nothing. Got readmitted a day later for cont'd elevated LFTs w/ N and V. US guided drain didn't work b/c pocket too small and collapsed when aspirated 50 ml in two diff areas. 3 more US drain,same thing. Not able to drain it all. Now 6 wk, ongoing. Don't have thick fat layer. Extensive US, no lg pocket just a few smaller ones. Advice?.
N Seroma Post Tummy Tuck, Hysterectomy, Liposuction Followed by Emergent Cholecystectomy
Other than re-opening the incision and placing drains, it seems like everything else has been tried. Usually these small fluid collections will resolve spontaneously. They are probably more common than we know because very few patients get post op imaging studies.
Unless these are visible or symptomatic, I would favor no treatment. If any are drained in the future, injecting a sclerosing agent, such as betadine, tetracycline or alcohol should be considered.
Thank you for your question, best wishes.
Difficult to drain seroma post tummy tuck, hysterectomy, liposuction followed by emergency cholecystectomy?
Unfortunately, I would suggest surgery. Since your plastic surgeon and radiologist have been unable to drain the seromas, I would suggest more aggressive treatment. This would require general anesthesia and opening of the abdomen again. Typically, these seromas can be directly excised and should not come back. I would suggest placing drains for 7 to 10 days and would suggest post operative compression for two months. I hope this helps. Good luck. Sincerely, Dr. Katzen
Seroma after Gb after Tt
Post operative seromas following an abdominoplasty
You have certainly had more than your share of problems following your abdominoplasty. These small seromas are likely more common than we know since most patients do not get post operative ultrasonic studies. If they are asymptomatic and not causing any visual bulges then I would leave them alone and they will most likely resolve spontaneously.
Resolving Seromas after Tummy Tuck and Liposuction
You have had quite a series of events. I am glad you are doing better and the seroma has been drained.
Interventional radiologists can drain seromas after tummy tuck.
I recommend another opinion. You have had a very complicated course, and I would not ignore these seromas.
Chronic seromas after tummy tuck surgery sometimes need surgery
From your description, it sounds like this troublesome fluid pocket is becoming a 'chronic' seroma. In cases like yours, I have never regretted returning to the operating room and actually excising the entire seroma cavity and closing the abdomen over drains. Discuss this option with your plastic surgeon.
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