Seroma 7 weeks post TT. Last drain removed at 6 weeks. What am I doing wrong?
Doctor Answers 5
Not to worry
Seromas are very common after tummy tuck. The larger the tummy tuck volume, the larger the potential for seroma. 350 is a reasonable amount but nothing to worry about on its own. The key question is whether the volumes drained decrease over time. If there is still a seroma that drains 100s of mls in three months then there may be an indication for repeat surgery just to remove the seroma but so far so good. Hope that helps. Adam Goodwin
If your fluid collection does not resolve after one or two aspirations, ask your plastic surgeon to consider a referral to a hospital with interventional radiology services. They can carry out an ultrasound-assisted percutaneous drain placement until the fluid collection is resolved. If necessary you can be considered for treatment to obliterate the fluid cavity.
Good approach for now
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Thank you for your question. Seroma (fluid collection) is one of the most common complications of a tummy tuck. It is unlikely that you are doing anything wrong that has led to this situation. With the drains removed, the fluid cannot drain out and accumulates in the abdomen. Many times the drainage tubes clog and are no longer functional, so it is best to remove them. Usually, an infected seroma is rare and other than causing discomfort, seromas don't cause long term problems. In my experience, serial aspiration (draining the fluid with a needle and syringe once or twice a week) usually will take care of the problem. In rare circumstances, a drain may need to be replaced, but usually after multiple aspirations have failed.Most of the time, each aspiration results in less fluid being removed, so with time the bulge from the fluid will get smaller.I believe that your doctor is doing the right thing by aspirating the fluid. Good luck and I hope your aspirations end soon.
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