I had a TT because I had diastasis.. and hernia.. barely any skin removed at the end of May, at that time two drainage tubes were put in and removed day 10... several days later fluid started to build up around my belly button .. we did catscan with contrast to confirm a seroma.. first he did the needle aspirations 5 of them, but it wasn't going down too much.. so he put a drain back in for 2 weeks.. now I am still swollen with fluid .. when will it dissolve or absorb??
Answer: Seroma after TT This is a tricky problem. After needle aspiration and drain alone fails, replacing a drain and infusing medications to close down the seroma is necessary - solutions like doxycycline or bleomycin. Many times plastic surgery offices do not carry these and some send their patients to interventional radiologists to take over. Best of luck!
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Answer: Seroma after TT This is a tricky problem. After needle aspiration and drain alone fails, replacing a drain and infusing medications to close down the seroma is necessary - solutions like doxycycline or bleomycin. Many times plastic surgery offices do not carry these and some send their patients to interventional radiologists to take over. Best of luck!
Helpful 2 people found this helpful
August 14, 2017
Answer: Solution for persistent seroma unfortunately, some seromas persist despite replacing a drain. The solution in those circumstances is to remove any scar tissue around the seroma cavity and then suture the skin down to the underlying muscle using slowly dissolving sutures. This has worked well for me in the past. Doxycycline injections have decreased the amount of fluid produced, but has never resolved it completely.
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August 14, 2017
Answer: Solution for persistent seroma unfortunately, some seromas persist despite replacing a drain. The solution in those circumstances is to remove any scar tissue around the seroma cavity and then suture the skin down to the underlying muscle using slowly dissolving sutures. This has worked well for me in the past. Doxycycline injections have decreased the amount of fluid produced, but has never resolved it completely.
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August 14, 2017
Answer: When will this seroma go away? Thank you for sharing your question. If you have another confirmed seroma it is difficult to know when your body will fully heal from the procedure. It looks to be fairly large and would need either repeated aspirations or another drain placement. Sometimes scar tissue can form around the seroma which may necessitate a revision procedure to try and correct. Unfortunately without more information it is difficult to offer definite advice and I would speak with your surgeon as they should be able to give you better advice and reassurance.
Helpful 1 person found this helpful
August 14, 2017
Answer: When will this seroma go away? Thank you for sharing your question. If you have another confirmed seroma it is difficult to know when your body will fully heal from the procedure. It looks to be fairly large and would need either repeated aspirations or another drain placement. Sometimes scar tissue can form around the seroma which may necessitate a revision procedure to try and correct. Unfortunately without more information it is difficult to offer definite advice and I would speak with your surgeon as they should be able to give you better advice and reassurance.
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Answer: Chronic seroma Sometimes after a few months the seroma will form its own sack around the outside & no amount of drainage will stop it. In this case a further operation may be required to remove the "sack" and freshen up the inside, so it will stick back down. I would say that at 3 months, this may be what is required for you. Discuss your options with your surgeon. A seroma of this size is fairly unlikely to resolve on it's own.
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Answer: Chronic seroma Sometimes after a few months the seroma will form its own sack around the outside & no amount of drainage will stop it. In this case a further operation may be required to remove the "sack" and freshen up the inside, so it will stick back down. I would say that at 3 months, this may be what is required for you. Discuss your options with your surgeon. A seroma of this size is fairly unlikely to resolve on it's own.
Helpful 1 person found this helpful
August 14, 2017
Answer: Seroma You have posed a difficult question to answer. No two seromas act alike. Many times, serial drainage (daily) for 1 - 2 weeks is necessary. Rarely, another drain placement. In prolonged seromas, it is prudent to do a culture to make sure there are no bacteria causing the seroma. I have found that if there is a positive culture, the seroma disappears after starting appropriate oral antibiotics.If the culture is negative, certain medications (sclerosing agents) may be used. If there is a capsule or scar tissue formation around the seroma, it can only be treated with re-operation and seroma removal.Best of luck.Dr T
Helpful 1 person found this helpful
August 14, 2017
Answer: Seroma You have posed a difficult question to answer. No two seromas act alike. Many times, serial drainage (daily) for 1 - 2 weeks is necessary. Rarely, another drain placement. In prolonged seromas, it is prudent to do a culture to make sure there are no bacteria causing the seroma. I have found that if there is a positive culture, the seroma disappears after starting appropriate oral antibiotics.If the culture is negative, certain medications (sclerosing agents) may be used. If there is a capsule or scar tissue formation around the seroma, it can only be treated with re-operation and seroma removal.Best of luck.Dr T
Helpful 1 person found this helpful
