I went in to my surgeon and he diagnosed a seroma last week. He asked me to come back in a week to see if it returned. He said they rarely do. This contradicts all the information I've read on here about seromas, so I'm feeling anxious. By two days after he drained it, it was back. It's been getting bigger each day. I'm going in tomorrow morning to get it drained. I'm nervous. Do these get infected easily? Should I ask to have a drain put in?
August 22, 2017
Answer: Seromas are common and they do go away with serial aspirations done on a weekly or more often basis if obvious the fluid has returned. Infection of this is minimal if good technique is used with aspirations. Reinsertion of a drain is only done for refractory seroma's that will require some intervention to resolve, such as sclerotherapy. It will go away eventually...
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August 22, 2017
Answer: Seromas are common and they do go away with serial aspirations done on a weekly or more often basis if obvious the fluid has returned. Infection of this is minimal if good technique is used with aspirations. Reinsertion of a drain is only done for refractory seroma's that will require some intervention to resolve, such as sclerotherapy. It will go away eventually...
Helpful
August 22, 2017
Answer: Seroma I have found that the best chance to resolve it with aspirations is frequent aspiration (every 2-3 days max) so as to allow more prolonged contact between the attempting to heal surfaces before being separated again by the gathering fluid. In my experience, if the fluid is not decreasing by 30%-50% with each aspiration it is better to insert a drain before any lining begins to form on the inside surfaces which can prevent resolution and require surgery to remove.
Helpful
August 22, 2017
Answer: Seroma I have found that the best chance to resolve it with aspirations is frequent aspiration (every 2-3 days max) so as to allow more prolonged contact between the attempting to heal surfaces before being separated again by the gathering fluid. In my experience, if the fluid is not decreasing by 30%-50% with each aspiration it is better to insert a drain before any lining begins to form on the inside surfaces which can prevent resolution and require surgery to remove.
Helpful
