Would bilateral drains be necessary in my case because of my lymphatic system?

Question

Hello, I am a 2x breast cancer survivor. I had BC in 2000, 2010. I had a radical, double mastectomy with dorsi flap in 2011. Two axillary dissections. Right side 11 nodes removed, one infected. The left side, 23 removed with tumor that metastasized. I have mild to moderate lymphedema in both arms as well. Radiation to bilateral clavicle, chest and underarms. Hypothyroidism, parathyroidism, immunocompromised.

Randal Haworth, MD, FACS · Answer

I’m sorry to read about your cancers. In cases of breast cancer surgeries involving lymph node removal and the presence of lymphedema, the decision to use bilateral drains would depend on various factors, including the specific circumstances of your case and the recommendations of your healthcare team.

Bilateral drains are sometimes used after surgery to help remove excess fluid that can accumulate in the surgical area. They can help reduce the risk of fluid buildup and complications such as seromas. However, the decision to use bilateral drains would be made by your surgical team based on their assessment of your individual situation.

Given your history of lymphedema and the extent of lymph node removal, your surgical team will likely take extra precautions to minimize the risk of fluid accumulation. This may include techniques such as using compression garments, early mobilization, and close monitoring of your lymphatic system post-surgery.

I hope this helps,
best of luck !

Would bilateral drains be necessary in my case because of my lymphatic system?

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