I am 5 days PO and I have notice large blood clots drain into my tube. They are so big that I can not get them out. I really am surprise that the drain has pull them. Should I be alarm?
Is It Normal for Drain to Pull out Large Blood Clots During Tummy Tuck Recovery?
Doctor Answers (12)
Blood Clots Following Abdominoplasty
It’s not unusual for patients to have clots of blood and fibrin within their surgical drains. This is a normal phenomena that’s managed by frequently stripping the drains. Although this may be a source of anxiety for patients this is a normal finding.
When patients have large volumes of bloody drainage it’s important to consult your plastic surgeon immediately. This finding could indicate a more serious problem such as an abdominal hematoma. Under these circumstances it’s important to make your plastic surgeon aware of the situation.
Drains and Tummy Tucks
More recently, 'drain free' surgery has become more popular. Fat layer is sutured down to the muscle layer starting at the ribs and progressively down to the lower incision. This makes the space for the fluid to collect much smaller, and in many patients can have surgery without drains. However, I have seen multiple patients come from other surgeons because they developed a seroma despite the suturing of the tissue. This is not the surgeon's fault, but some patients just do not heal fast enough or put out too much fluid for the body to absorb.
It is normal for blood clots to come out into bulb. You should encourage any blood clots you see in the tube to come into the bulb by 'milking' them in that direction. this keeps the drain free to flow.
Pablo Prichard, MD
Drains after mommy makeover
What you are describing happens to most patients. They are usually a combination of blood and tissue that the drain is trying to expel. Ask your plastic surgeon how to strip the drains, and this will help to push them out into the bulb at the end. I hope this helps you.
Neil J. Zemmel
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Clots in drain are normal
Thanks for your question. Clots are definitely normal. As long as the output is not going up and your abdomen has a normal contour then it is likely okay. Let your surgeon take a look if you are concerned. Best of Luck!
Blood clots in drains
It is very common for there to be large clots in the drains in the first few days post-op from a tummy tuck. The key is to make sure that the overall output is not too high and that you are keeping your surgeon updated on the output. If all else is well, I would not be concerned.
Clots forming in drains after tummy tucks
Hello. After a tummy tuck it is common to have clots in your drains. The only possible problem with clots is that they can occlude the tubing making the drains ineffective. Ask your doctor how to clean the tubing if they are not functioning correctly. With a new method of doing tummy tucks drains are usually left for five to seven days instead of the usual ten to fifteen days and should drain less but it is not uncommon for clots to form.
Jaime Perez, MD
Mommy Makeover Specialist
Plastic Surgery Center of Tampa
Clots or semi-solid tissue in drains is common
Thank you for the question. What you are describing sounds like the normal semi-solid tissue that is commonly seen in drain tubes. The body produces healing fluid that has many different types of cells and as these clump together they form the strands of semi-solid tissue that you are describing. Keep stripping the drain tube as you have been instructed and you should be fine. Checking in with your plastic surgeon to have him/her verify your description is also a good idea.
All the best,
Dr Remus Repta
Large Blood Clots from Drains
It is quite common for there to be blood in the drains, and typically early on it is clotted blood. So long as the drain is still fuctioning, there is no concern. If you don't know how to "strip and seal" the drain tubes, call your surgeon for instructions.
Clots in Drain after Tummy Tuck
Time to time large clots can travel through the drain. This is not a problem usually. Make your surgeon aware of your concerns.
Concern regarding clots of blood coming through drain following a tummy tuck
It is very common to see clotted blood coming through the drains following a tummy tuck. The only real significant issue that they can present is that occasionally they can cause occlusion of the tubing, preventing fluid from draining. This can usually be remedied by stripping the tubing which your doctor can explain to you and show you.