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The skin becomes loose to the touch as the protrusion disappears. Heat and local massage with an electric vibrator are used after surgery. The patient should be seen by the doctor every 2 weeks during the first 2 months and bimonthly afterward as necessary.
Since we began to employ this method, no patient of ours has required reoperation to treat a seroma. The back closure in a belt lipectomy is shown in this diagram. The deep layer incorporates the small amount of fat left on the underlying muscle and both the superior and inferior superficial fascial system . The superficial closure spans from the SFS to the subdermis, closing as much dead space as possible.
Medical
You can learn more about how we ensure our content is accurate and current by reading our editorial policy. After a mastectomy, a lumpectomy, or even a breast reduction is performed, the patient is told to wear a tight bra to put pressure on the surgical site. This helps lessen the risk of fluid leaks and speeds up healing.
Postoperative complications and oncologic outcomes after multimodal therapy of localized high risk soft tissue sarcoma. Skin closure and local compression are performed as previously described. There has been no recurrence of seromas in secondary surgeries managed in this manner.
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If compression garments were completely benign with no potential downside, we would not question utilizing them. However, we believe they are not completely benign, and it is possible that they may have unintended negative effects. More severe hematomas that continue to enlarge may require surgery to drain the accumulated blood and/or control any bleeding vessels and reclose the surgical site. A common complication of all hematomas is the risk of infection. Since there is no blood supply to a hematoma , there is a risk of bacteria colonizing the site. Surgical incision separation and delayed healing may also occur if the hematoma is large enough to compress tissues and prevent oxygen from reaching the surrounding tissue.
Breast seromas can often be felt or even seen when the breast is examined. Since they can form a lump you can feel, they frequently raise concerns that cancer has come back or wasn't completely removed during surgery. Seromas are more common when surgical drains aren't used, but using drains doesn't fully eliminate the risk. When seromas occur shortly after surgery, they may add time to your hospital stay. Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Treatment
Note that the numbers in parentheses (1, 2, etc.) are clickable links to medically peer-reviewed studies. If you've had breast cancer, the hardest part about coping with a seroma is likely the worry it can cause over cancer coming back. Getting lumps checked out right away can help ease your mind as well as catch any reoccurrence quickly. Suggested that a certain suturing technique could minimize seroma formation. Applying heat via a heating pad or warm, moist compresses can help encourage the fluid to drain, speed the healing process, and reduce pain.
A hematoma the size of an orange developed in the epigastrium. This area became fibrotic and hard, with overlying “peau d'orange” skin. Steroid injections administered by the patient's physician did not solve the problem.
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A, An intraoperative view of an abdominoplasty with the skin flap retracted shows the extent of the dead space before the rectus abdominis muscles are plicated. B and C, Schematic and close-up transoperative aspect of the quilting suture. 3-0 Vicryl® isolated stitches placed at 4 to 5 cm intervals bite the rectus abdominis muscle fascia and the cutaneous flap's superficialis fascia.
We do not initially place the patients on antibiotics, but some will become colonized with bacteria and we will then place them on oral antibiotics. It is our impression that this colonization process seems to speed up the closure of the pocket around the Penrose drain but have no scientific proof that it does. We believe this strategy prevents an infection of the cavity while allowing for resolution of the seroma.
Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. You should also seek emergency medical attention if swelling causes the surgical incision to open up or if you notice pus draining from the incision site. It is important to keep the wound clean to keep out bacteria and other germs. Preventing infection at the surgery site is another important way of avoiding the formation of seromas. Typically, seromas form right after surgery when drains are not used. A seroma can still occur up to 1 month after surgery and the removal of the drains.
Wound drainage after axillary dissection for carcinoma of the breast. A mild buildup of fluid is common after surgery and does not necessarily mean a seroma will appear. If seromas become a recurring problem and have to be drained often, one option is to fit a drainage tube to keep the area clear. Seromas can increase the likelihood of a surgical site infection, so it is important to monitor them carefully. Letting a seroma absorb on its own is the best way to heal naturally as long as no complications arise.
Depending on its size and your symptoms, it may not need to be treated. The seroma may go away on its own within a few weeks or months. But if you have a large seroma or if it’s causing pain, your healthcare provider may drain it. Seromas can return and may need to be drained multiple times.
This same technique can be applied in a situation where movement between two tissue planes is likely to cause seroma formation. One patient required two successive tunneling sessions to be performed 6 months apart. The patient was a 47-year-old woman who underwent abdominal liposuction elsewhere.
The information in our articles is NOT intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. This Dr. Axe content is medically reviewed or fact checked to ensure factually accurate information. It's also important to keep the skin overlying a seroma clean, especially after fine needle aspiration. It's important to call your healthcare provider if you develop a lump after an event that can lead to a seroma or any time you notice a lump in your breast. Sometimes symptoms occur very soon after an injury or procedure, and other times, they can become a problem several weeks later.
Calcification is the accumulation of calcium in the body tissue hardening the area. There are ways a person can conduct seroma treatment at home. Another complication of a seroma is that it can transform into an abscess with pus. Although it’s common for seromas to resolve on their own, you should keep your doctor or health care provider updated about the status of your seroma. If the amount of fluid in the seroma seems to be increasing, the swelling increases or it is painful, you should contact your doctor right away so that it can be drained and an infection can be ruled out.
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