Should my seroma be removed surgically? (photos)
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Doctor Answers 10
Post op seroma
Management of seromas
This is a problem. I would attempt at least two weeks of aspirations, possible every 48 hours. If the seroma doesn't shrink and subside, You may need a surgery to remove the capsule that may have formed. If you did decide to have surgery, I would make sure that the surgeon doesn't use a drain again, but instead plicating sutures to obliterate the cavity.
Best of luck!
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Recurring seroma should be removed
Yours is a tough problem. Seromas usually respond to the aspirations you describe. Recurrent, recalcitrant seromas present a more difficult problem. I would agree with the course of management you have embarked upon but you may require the injection of a sclerosing agent into the cavity to allow it to seal up. Alternatively you may require an operation to open up the part of your scar adjacent the seroma for a formal de-cortication procedure. Either which way there is a solution to your problem. You would be be served to revisit your plastic surgeon to discuss these options.
The seroma and the treatment.
Seroma after abdominoplasty
Should my seroma be removed
Seroma after Abdominoplasty
At this point if you were my patient I would continue with the drainage in the office to help this resolve. Compression in that area after the drainage is very important, as is restricting your activity between the office visits and drainage.
In very rare circumstances, the drainage will not resolve the issue and it may require a trip to the operating room to removed/excise the seroma cavity.
Hope that helps. I would suggest you continue on and follow your surgeons guidance.
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