Doctor insights on:
What Is A Seroma
Fullness, drainage: Seromas are fairly common after lumpectomy, should be distinguished from a hematoma (blood clot). Both can present with fullness (and discomfort) in the area of the surgery and drainage, although hematomas tend to drain bloody fluid and present earlier than serums. Treatment generally includes repeated aspirations in the office until the seroma resolves. If it is red, abscess if possible also. ...Read more
Collection of fluid: A seroma is a collection of fluid (serum). The serum is the liquid part of your blood (as opposed to the cells) and is similar to the fluid that is inside a blister. Seromas can occur after any surgery and can resolve without treatment although sometimes the doctor will draw out the fluid. If it is causing a lot of discomfort, return to the doctor for treatment. DO NOT TRY TO DRAIN IT ON YOUR OWN. ...Read more
Seroma: Seromas come as a result of a fluid collection under the skin for instance. As the fluid collects it begins to feel tight and can lead to pain. Overlying skin may get shiny and red. These are not terribly uncommon after some types of surgery. Some go away on their own. Some will require further treatment. Definitely alert your doctor so the area can be evaluated. ...Read more
Fluid Collection: It is normal and expected for tissue fluid to seep into any open space that follows an operation--we call these fluid collections seromas. In time, the fluid is absorbed and replaced by scar tissue. Rarely, this fluid persists, requiring aspiration, or becomes infected, requiring drainage. Bottom line: 99% of the time, no worries. ...Read more
Postop Breast Lump: A seroma is a fluid collection that (always) develops in open cavities after surgery. In time, your body will replace this fluid with scar tissue. Rarely, the fluid will persist and require needle aspiration, sometimes repeatedly. After a lumpectomy, a seroma will feel like a persistent breast lump. If this persists months later and is causing discomfort, aspiration is indicated. ...Read more
I was told today that I needed to have open surgery to correct a weak spot and seroma in my abdomen. I know what to except with the weak spot but what does surgery for the seroma intell?
Similar to expected: A seroma is a collection of fluid outside of a defined vessel, such as in a hernia sac, or in an area of chronic inflammation. Surgery to correct your abdominal weak spot and seroma likely entails draining the fluid and "shoring up" or reinforcing the weakened area, or obliterating any sac or potential space associated with the fluid collection (seroma). Your doc can be more specific. ...Read more
My surgeon said thought that I had developed a seroma after lap. Ventral hernia but after having open hernia to fix a defect he said that what he thought was a seroma was more like a cyst is normal?
Need more info:
A cyst filled with fluid is essentially the same as a seroma just with a capsule around it. Was it infected? Did he/she find blood (hematoma)? Did he/she leave a drain? Did he/she leave the wound packed open? If so, this can be a nl post op issue.
Or is your surgeon saying this is a different cyst unrelated to the surgery ie, a sebacceous cyst? If so it was probably there before the surgery. ...Read more
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?
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. ...Read more
Can a weak spot in my abdomen be causing a seroma to return almost seven months after lap. Ventral hernia surgery? If not than what could be causing the seroma to return?
I have seroma, the surgeon wants to drain it but my local nurse and tissue specialist are happy to leave it, what do I push for? 3rd seroma iv had
Need some advice about a seroma but can't send full details on here so can you respond through email?
R/o wound infection: 18 year old gentleman with fluid collection/wound. Please visit your MD asap. You may have a significant fluid collection under that wound, and it needs to be insp aspirated or drained. If you develop a fluid/gas collection, get it seen. Fluid collections can harbor or develop significant infections. Warmth, redness, pain, swelling are symptoms of infection. Symptomatic seroma needs exam/aspiration ...Read more
I was diagnosed with a seroma in august. I'm just now returning to work and I was wondering if heavy lifting is going to cause the seroma to swell up?
Pain management: Management of acute pain after surgery is an art, requires lots of communication with the surgical team. Acute pain management lasts 1 to 6 weeks and should have a trending to better pattern. Okay to call your doc. Seroma after surgery can increase pain. Get in sooner if there is redness, drainage or fever. Good luck. ...Read more
No empty spaces: A seromma is a fluid collection our bodies produce in response to the inflammation of healing. After surgery, any "empty spaces" that do not have tissues moved into them fill with serum. Excess serum causes the wound to expand and prevent healing so removing it helps the space close. However, after removing the vac-pac, there still may be a little space left and so some serum will recur. ...Read more
Normal: You have a seroma following an operation. You have had it aspirated only to have the fluid return 12 hours later. You want to know of it is normal. Your doctor will send the fluid for cytology. But it is normal for fluid to accumulate in an area. Over time it may require additional aspiration. Try to keep healthy eat well keep glucose normal. ...Read more
Maybe: I do not know where it is located or how the hematoma occurred. Hematoma is a collection of blood outside the vascular system. As the body resorbs it, the hematoma contents naturally liquefy and sometimes enlarges slightly. The fluid or seroma remaining then usually becomes resorbed and disappears. ...Read more
Why is an abdominial seroma so painful? Pain wakes me up while I'm turning in bed I have to hold it to turn also can only walk a short distance
Seroma: The pain will have some relation to the location, and size of the seroma as well as the time from your recent surgery. Stay in touch with your surgeon regarding this postoperative event. Drainage, culture, pain management, support with a binder, ultrasound, antibiotics, are all possible tools your surgeon will employ to get you successfully through this. ...Read more
What are the chances of a hernia recurrance after 6 mths. Have not lifted over 50- 75 lbs. Had it done laproscropic. Did develope a lg seroma after?
Low: Your chances are low for recurrence. The procedure was performed laparoscopically. There is a risk of slip of the patch but that is also low. You are in lexington. The uk surgical team can help you follow along if required. Go blue! ...Read more
Common: That is not uncommon and may resolve on is own. Sometimes the seroma will open and drain on it's own, sometimes they must be opened and drained. It may be inconvenient but is not considered to be a severe complication. ...Read more
No: An ulcer is an open sore. A seroma is an accumulation of serum fluid underneath the skin. Though they can both cause pain, a seroma is usually not weepy whereas an ulcer is. ...Read more
I had a lumpectomy 4 yrs ago & developed a Seroma after surgery & have had to have the fluid removed every year since. Why is this lasting so long?
Since the exact:
Cause of seroma formation is unknown, it is difficult to be able to reassure you as to how long fluid will have to be withdrown. There are a number of possible treatments with varying reports of success.
Consult with an experienced Breast Surgeon for advice!
Hope this helps...wish it could be better "news"
Dr Z ...Read more
I have a very strange case and can't seem to find a doctor that can help. I have a long medical history to only being 23 years old. I have three seromas that cause me quite a bit of pain and discomfort. One of the seromas formed after I had the right live
Academic hospital: You might seek MDs at an academic center. They often have the time to spend with complicated cases. Good luck ...Read more
No: Seromas are usually a fluid collection in a surgically made opening. Spontaneous seromas do not exist. ...Read more
No: Seroma probably in pelvis and not in upper abdomen. ...Read more