Compression garment 24/7. Hyperbaric x5. Doctor say only 3 other times in his career, Great! He is suggesting Tetracycline wash subQ. Is this normal and should i give this more time?
12 weeks post op abdominoplasty. Still have 1 drain in, output of approx 60-80 per 24hours. What to do now?
Doctor Answers 6
Drain at 12 Weeks, Now What?
An alternative approach would be to just remove the drain (assuming this is the cause of the ongoing fluid production) and see what happens. Likely you will develop a seroma which can be aspirated every couple of days in the hope that once the drain is removed and no longer irritating the tissues then the drainage will eventually stop. If the repeat aspirations don't work then you will likely need another operation to remove the persistent seroma which has evolved into a chronic bursa. That may be the only way to completely resolve the problem.
Prolonged Use of a Drain
12 weeks post op abdominoplasty. Still have 1 drain in, output of approx 60-80 per 24hours.
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Post op abdominoplasty drainage
So sorry to hear about your situation. I would have to say this is exceedingly uncommon especially 12 weeks later. Likely cause would have to be persistent seroma and a chronic inflammation is the basis for this (less likely but is has to be excluded would be an infection/ biofilm) or a lymphatic leak is another possible cause (fluid analysis can differentiate the two). I would suggest that your surgeon analyze the fluid and then excluding other cases treat with a Sclerosant like Tetracycline. The seroma formation could possibly have been prevented with quilting sutures and/or progressive tension suturing techniques. Good luck to you
Abdominoplasty - drainage will not stop after 3 months
- I am so sorry to hear you have this problem.
- There are two common explanations - the drain itself is irritating and causing the drainage
- Or there is an infection causing the drainage.
- Before anything is done you might ask your surgeon for an ultrasound to be sure there isn't a seroma cavity
- If it is an infection, drainage should stop rapidly with antibiotics.
- At times, just removing the drain turns out to be the answer.
- But I agree completely with you and your surgeon that you need a step-by-step treatment plan and get this resolved as fast as possible.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.