Why did I get a seroma when I had my Jackson Pratt still in? Its been a month and have 2 penrose drains (photo)

Question

I had a tummy tuck on Nov. 13, 2014. I had a Jackson Pratt in for 3 weeks. I developed a seroma in my top right quadrant. He drained 150 cc the first time second time 50cc. Could not tolerate JP longer so he inserted 2 Penrose.. My Penrose continues draining but not large amounts. Might have another seroma appears swollen.QUESTION I have looked about seromas complication that happens when no drains. I had a JP in when I got my seroma. PLEASE TELL ME WHY? I just can't find the answer. Thank you

Gary Lawton, MD, FACS · Answer

If the drain is not in direct contact with the area of fluid production, a localized serum can form.  Penrose drains are certainly old fashioned.

David Liland, MD · Answer

Seromas can form even if the abdomen is drained. This happens if a wall is informed between the drain and the fluid. They are usually small and can be treated with serial needle aspiration and gentle pressure.

Vincent N. Zubowicz, MD · Answer

I personally don't use drains with abdominoplasty in a very little difficulty with seromas. When the form they should be drained. Often times this can be done sequential aspiration in the office. Some surgeons choose to insert drains. Eventually the problem will resolve so continue to follow your surgeon's advice.

Why did I get a seroma when I had my Jackson Pratt still in? Its been a month and have 2 penrose drains (photo)

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