I Am 4 Weeks Postop and Still Have One Drain, Draining 40-50cc/day. Is That Normal?

Sometimes persistent drainage is related to excessive activity that prevents the skin flap from adhering to the underlying abdominal wall tissues. Sometimes there may be contamination or sub-clinical infection of the drain itself, which can cause persistent drainage. Removal of the drain is sometimes all that is necessary in this situation, but as often as not, another drain will need to be reinserted.

If the drainage is clear and yellowish (not cloudy or foul-smelling), perhaps your surgeon will consider sclerotherapy, where tetracycline is dissolved in a small amount of saline and inserted into the drain tube with mild pressure (never forced). This causes irritation and inflammation that can aid the tissues in "sticking" down and allowing the drainage to diminish until appropriate for removal. Every surgeon uses a slightly different amount, but I generally feel that less than 25-30cc per 24 hours is the time to pull the drain. Of course, a check to see if you are retaining fluid after drain removal (sclerotherapy or not) is a good idea within 3-7 days.

If a pseudobursa is allowed to persist for too long, sometimes re-operation to remove the fluid pocket is necessary to allow things to completely heal. Quilting sutures can aid the healing process, both at the initial surgery, and at pseudobursectomy, if needed. Good luck!

Placing a drain during an abdominoplasty or tummy tuck is a routine procedure. Depending on the surgeon there may be one drain or multiple drains. Usually the drain comes out around during the first week, but occasionally the surgeon may need to keep it for a longer period of time because the drain may be putting out a significant amount of liquid. In my practice, I tend to remove the drain when they produce less than 50cc a day. However it is still your surgeons’ preference, but 40-50cc a day seems like a reasonable amount to remove the drain.

We usually have our drains at 20cc each or less by day 7-10.  This very unusual and should be a concern by your doctor unless there is a condition they are aware of and this is what they expect.

It's unusual to keep a drain in that long-I would check with your PS to see what the reason for this is-typically 4-6 days is the average

The usual period for leaving drains following a tummy tuck is 4- 6 days. Occasionally this period may need to be prolonged. It is  unusual to keep the drains in fo 4 weeks and to still have 40-50cc of drainage per day. You should consult with your surgeon to find out what is happening and to also identify the nature of the drainage. Is it clear, bloody or cloudy? You may need to have a culture taken.