Got top surgery November 28th, I end up getting seroma or hemotoma. I’ve gone to my surgeon twice to drain it but it still looks the same. What should I do
Answer: Needle drainage vs surgical removal of fluid collection and capsule If a fluid collection has been long standing, your body may form a capsule around it. The capsule is lined with very smooth tissue, therefore even if it is drained, the tissue will not heal together and obliterate the potential space, so it may fill up with fluid again. If this is the case, and this keeps recurring after needle drainage in the office, you may need to consider going back for a procedure to remove or score the capsule, leave a drain, compress tightly again and allow the two sides of tissue to heal together. You will also want to limit your activities and range of motion on that side for a full 6 weeks after any type of surgery.
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Answer: Needle drainage vs surgical removal of fluid collection and capsule If a fluid collection has been long standing, your body may form a capsule around it. The capsule is lined with very smooth tissue, therefore even if it is drained, the tissue will not heal together and obliterate the potential space, so it may fill up with fluid again. If this is the case, and this keeps recurring after needle drainage in the office, you may need to consider going back for a procedure to remove or score the capsule, leave a drain, compress tightly again and allow the two sides of tissue to heal together. You will also want to limit your activities and range of motion on that side for a full 6 weeks after any type of surgery.
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February 3, 2019
Answer: Post-op Swelling Hi rp_baller,Thanks for the post and photos. Given that you have a significant recurrence of fluid despite two aspirations, you may need to have a drain placed. Seromas can take a while to completely resorb. The other issue with seromas are that if they persist for a while, your body can develop a capsule within that space that will make it very difficult for the fluid to go away completely and this capsule would need to be surgically removed. I recommend you keep in close contact with your surgeon. Sincerely,Dr. Dadvand
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February 3, 2019
Answer: Post-op Swelling Hi rp_baller,Thanks for the post and photos. Given that you have a significant recurrence of fluid despite two aspirations, you may need to have a drain placed. Seromas can take a while to completely resorb. The other issue with seromas are that if they persist for a while, your body can develop a capsule within that space that will make it very difficult for the fluid to go away completely and this capsule would need to be surgically removed. I recommend you keep in close contact with your surgeon. Sincerely,Dr. Dadvand
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