What is the correct way to do the massage for reducing or prevent the swelling from a seroma? after TT
Massage for Reducing Swelling from Seroma?
Doctor Answers 11
Thanks for the great question -
Massage is not likely to prevent seroma but can be useful as a technique to reduce swelling.
Your lymphatics remove excess fluid from your tissues and return it to your circulation. After surgery some of these channels are cut and time is needed to allow regrowth of these pathways.
Massage can be an effective way to reduce swelling by recruiting other lymphatic channels to reduce some of the fluid.
I hope this helps.
A seroma is a fluid collection in an area following a surgical procedure. This is different from swelling. Swelling will respond to massage but seroma will responds to either compression or aspiration.
Web reference: http://newportplastic.com/tummy-tuck/
Seromas are collections of fluid under the skin.
Seromas should be drained, and not be allowed to resorb on their own.
If left untreated, seromas can become permanent and form a capsule that needs to be removed surgically.
They can also become infected.
There are various methods of reducing swelling, primarily by reducing activity levels, applying compressing, avoiding prolonged sitting, and lymphatic massage. However these are treatments for surgical swelling, not seroma.
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Probably the best technique is manual lymphatic drainage also known as MLD or the Vodder technique.
This promotes drainage to the regional lymph nodes and encourages diminished swelling (also known as edema) which may help to optimize oxygen delivery to the healing tisssues.
Thank you for your post. Seromas can be painful and cause a cosmetic deformity, as well as sometimes leak. The whole point of drains is to keep a seroma from happening in the first place. If a drainless procedure was performed, and you had a seroma, or you had drains that were pulled and you subsequently had a seroma, then you should be drained, otherwise a capsule builds around the fluid making it permanent. If a capsule builds around the seroma (pseudo bursa or encapsulated seroma) then the only way to remove the seroma is to surgically open the areas and excise the capsule, and close over drains to prevent another seroma from happening. If the seroma is encapsulated and is tight and painful, then it can be confused with just swelling or fat. An ultrasound is useful in distinguishing these and identifying the extent of the seroma. If the seroma is not yet encapsulated, then it is usually loose and has a 'fluid wave' or water bed type feel. Occasionally, a seroma can also become infected, especially if a permanent braided suture was used. This will have a hot, red appearance, and will eventually open up. I have never seen an infection from sterile aspiration of fluid. If seromas continue despite multiple aspirations over an extended period of time, then you need to start thinking about re-openning the incision and excising the entire capsule, both from and back walls, to treat the seroma. Drains need to be placed, internal sutures placed, possibly using a tissue glue or irritant to encourage the tissues to grow together.
Best wishes,
Pablo Prichard, MD
Best wishes,
Pablo Prichard, MD
Web reference: http://www.aaaplasticsurgery.com/photo-gallery/details.cfm?ID=79&StartRow=36
There is no role for massage in the treatment of a seroma. This is a collection of fluid under the skin and fat not uncommon after abdominopasty. Treatment is serial aspiration. Massage has no role in treatment.
Web reference: http://www.zubowicz.com/subpag,21-atlanta-abdominoplast.htm
Massage does not typically reduce a seroma. Massage works very well for generalized swelling following surgery, however a seroma is a collection of fluid and massaging this does nothing to improve resorption. Typically, drains are used to prevent these collections from forming and are complimented with compression wraps or support garments. If a seroma persists, removal of the fluid (often several times) via a small needle and syringe may work. In chronic situations, the seroma cavity may form a wall and need a secondary procedure to correct.
Web reference: http://www.drbogue.com
I do not think massage will prevent a seroma from occurring. It may help with firmness or irregularities. A compression garment helps to keep the swelling down.
When abdominoplasty patients develop swelling in the
post-operative period, massage can be very helpful. In contrast, when patients
develop seromas, drainage is usually always indicated. Seromas are well formed collections
of fluid that won’t respond to massage. Failure to drain a seroma can result in
secondary complications.
A seroma is a collection of fluid underneath the skin. In some cases drains are used after surgery to prevent to occurance of seromas, as well as compression garments which also address issues with swelling. Massage does not typically help rid of a seroma, although it does help with swelling. To remove/reduce a seroma you will need to have it drained by your surgeon - otherwise you could end up with an infection. If you are experiencing complications such as a seroma, I would recommend calling your surgeon right away.
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.
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