How long is too long for JP drains and excessive fluid output??

Question

I am 4wks post op from a grade 4 capsulectomy and ruptured silicone implant. I had reconstructive surgery 7 yrs ago. I still have a JP drain in my left chest wall that is draining at a rate of 35-60ml in a 24hr period, all yellow fluid with some tissue 'strings' or pieces. Is this normal? How long is too long for the fluid and JP drain to remain? I can also feel fluid in my chest when I bend over, feeling like plastic wrap crunching. How do I speed up getting rid of this fluid? more bedrest?

Andrew Kornstein, MD, FACS · Answer

Are the 24 hour totals trending down? or stable?Any redness at the drain site(s)?I would call the office and speak to your doctor or nurse and update them.Hope this helps

Curtis Wong, MD · Answer

with procedures and outputs.  As long as the clear, yellow tinged fluid persists in great volumes, the drain is left in.   You don't mention if you had implants replaced, and if so, whether implants were textured or smooth.  In my clinical opinion and with my patients, I start getting more concerned after 3 weeks but again, situations vary.  My patients are offered either to leave drain in at increasing risks for a retrograde infection, convert to an open drain (but cannot have implants in this situation), or pull drain and hope significant accumulations do not occur as aspirations would then be needed on a regular basis until it resolved.  So best to discuss with your surgeon and realize your surgeon should be looking out for your best interests.  As for helping diminish fluid output, be less active with your arm on the same side of surgery.

How long is too long for JP drains and excessive fluid output??

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How long is too long for JP drains and excessive fluid output??

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Everything you need to know about Breast Reconstruction

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