What treatment for large abdominail seroma after hernia repair has already been draind twice i use a support binder but its so tender and painful?

You need a drain: If you have a large recurring abdominal wall seroma after a hernia repair that keeps recurring after aspiration, i would recommend that you have your surgeon place a drain or 2 such as a serocath. These are easily placed under local anesthesia in the office and usually are very effective in providing continuous suction to keep the tissues together to encourage healing to prevent seroma recurrence.

Need a Game Plan: Seromas are very common after hernia surgery; almost all resolve w/in a few months after surgery. Rx depends on its size, how long it has been present, symptoms, method of hernia repair, location of mesh etc. Ask your surgeon what his/her "game plan" is. If you are not satisfied w/the answer, you may want to get a 2nd opinion from another hernia surgeon. Good luck.

May need surgery: It depends on the timeframe after surgery, and the technique of repair. Longstanding seromas generally new to be operated on to remove the lining that has formed inside the cavity containing the fluid.