Seroma after intermuscular lipoma removal and colonized with MRSA. Should I be on antibiotics?

Question

Lipoma was 8cm. I noticed it was draining. Did not want it to get infected and went in to see the doctor who poked it and of fluid came out. He said it was not infected but can become infected. It was not my regular surgeon so I'm going in again tomorrow to change the bandage because they packed it. I'm concerned because I'm colonized with MRSA and am petrified of infection. Should I be on antibiotics? Did I drain it too late and if formed a pocket? Should I not be walking much?

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your seroma issues.  Unfortunately you did not mention the timing of the seroma development since removal of your lipoma but I will assume it is fairly recent.  As a result drainage of the seroma by reopening the incision and packing it is a good option at resolution and I would encourage a compression garment as well as any unnecessary movement of the bodypart.  As long as the wound remains open and draining it is unlikely to result in an infection that requires antibiotics, despite your MRSA colonization.  Be sure to maintain close follow up with your surgeon so that they can provide you with local wound care recommendations.

Leslie Memsic, MD, FACS · Answer

I am sorry about your wound issues, but all will be well .Packing the wound and allowing it to heal from the inside out will prevent infection. Packing prevents the skin from healing before the cavity is healed and thereby eliminates infection potential. If your wound gets red or hot or the drainage is prurulent, (pus) your doctor with open the wound wider, pack it and add antibiotics. Otherwise antibiotics are not required. Good luck and take care.

Seroma after intermuscular lipoma removal and colonized with MRSA. Should I be on antibiotics?

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Seroma after intermuscular lipoma removal and colonized with MRSA. Should I be on antibiotics?

Answers (2)

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Everything you need to know about Lipoma Removal

Our mission is to create a world where every investment in modern beauty is Worth It.