Why is my JP drain output so high? Do I have an infection? What are my options?

Question

I had righ TE exchanged 12 days ago because I had an open wound and the TE was exposed. I am 12 days post-op and am in considerable pain and still have 50cc out output in JP drain every 24 hours. I was treated with antibiotics starting the day after surgery because the pre-op culture of wound tested positive for staph. My PS is talking about removing TE for 3-6 months and that fluid is sign of infection at this point. What else could be causing the excessive fluid? What are my options at this point??

Allen Gabriel, MD, FACS · Answer

Thank you for your question and I am sorry that you are going through this.  High fluid output following expander exposure and exchange/closure can signify contamination.  The area is inflamed and the safest option is removal of expander.  The other option is to perform a latissimus flap + replacing expander and this can help with the healing issues.  Hope this helps and best of luck.

Steven Wallach, MD · Answer

Sounds like you might still have an infection and likely will need the tissue expander removed. Best to follow closely with your surgeon. Good luck.

Why is my JP drain output so high? Do I have an infection? What are my options?

Answers (2)