I am 49 years old and had a tummy tuck, lipo and hernia repair done on March 1, 2012. I almost immediately developed a seroma and after many months of aspirations, I underwent a second surgery on August 24, 2012. I am now 2.5 weeks post op but still draining over 200cc's per day. My Dr pumped Batadine through the tube today and put me back on antibiotics. My abd under incision is swelling again and is tender. I have headaches and feel very tired. What do you think is happening?
July 7, 2016
Answer: Seroma post tummy This is not the usual case and so I think you need to see both your plastic surgeon and your general surgeon.I would cuilture the fluid and have it analyzed to see if it is lymph fluid.Agasin this is not the normal course.
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July 7, 2016
Answer: Seroma post tummy This is not the usual case and so I think you need to see both your plastic surgeon and your general surgeon.I would cuilture the fluid and have it analyzed to see if it is lymph fluid.Agasin this is not the normal course.
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September 11, 2012
Answer: Reoccurring Seroma
Sorry to hear about the difficulties you continue to have.
It would be helpful to know what the nature of the second surgery was.
I would presume the Betadine was added to try to sclerose the seroma cavity. When it works it causes an inflammatory reaction to the lining of the cavity that has formed and encourages the walls to stick to one another and thus stop secreting serum.
There are also other agents that can be used, including tetracycline, talc, absolute alcohol. Some of these are quite uncomfortable and could require sedation.
Typically the agent is inserted either through the drain or through a needle injection, and is allowed to dwell for some time, and then the drain is allowed to empty the fluid.
Sometimes this must be done several times.
Thanks for your question. Best wishes for a quick resolution.
Helpful 1 person found this helpful
September 11, 2012
Answer: Reoccurring Seroma
Sorry to hear about the difficulties you continue to have.
It would be helpful to know what the nature of the second surgery was.
I would presume the Betadine was added to try to sclerose the seroma cavity. When it works it causes an inflammatory reaction to the lining of the cavity that has formed and encourages the walls to stick to one another and thus stop secreting serum.
There are also other agents that can be used, including tetracycline, talc, absolute alcohol. Some of these are quite uncomfortable and could require sedation.
Typically the agent is inserted either through the drain or through a needle injection, and is allowed to dwell for some time, and then the drain is allowed to empty the fluid.
Sometimes this must be done several times.
Thanks for your question. Best wishes for a quick resolution.
Helpful 1 person found this helpful