› Forums › General Melanoma Community › Update on my Seromas
- This topic has 15 replies, 4 voices, and was last updated 7 years, 3 months ago by
debwray.
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- January 23, 2017 at 11:12 pm
Today I had the seromas drained again (2ne time) and this time the surgeon was more aggressive about it~meaning she went in from different angles and also drained a 4th one that I thought was either muscle spasms or scar tissue. That was 5 hours ago and even with a compression bandage and compression shorts, it's almost filled up again.
I don't understand why my body can't drain this stuff?
Next the surgeon wants me to get a repeat ultrasound so she can look at the seromas again since the draining. I may have to have radiology drain these while under ultrasound rather than having the surgeon just use a still picture.
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- January 24, 2017 at 12:38 am
I was hoping you were going to say they've gotten better. So sorry you're still dealing with these dang seromas. Definitely an unusal experience, hopefully this doesn't last much longer for you!
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- January 24, 2017 at 12:38 am
I was hoping you were going to say they've gotten better. So sorry you're still dealing with these dang seromas. Definitely an unusal experience, hopefully this doesn't last much longer for you!
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- January 24, 2017 at 12:38 am
I was hoping you were going to say they've gotten better. So sorry you're still dealing with these dang seromas. Definitely an unusal experience, hopefully this doesn't last much longer for you!
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- January 24, 2017 at 1:42 pm
Yes I remember you told us about ur situation, and sorry to hear that the issue is persistent. May be you could see a new surgeon? May be your current surgeon is not very well experienced? Pls keep us updated. Good luck!
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- January 24, 2017 at 1:42 pm
Yes I remember you told us about ur situation, and sorry to hear that the issue is persistent. May be you could see a new surgeon? May be your current surgeon is not very well experienced? Pls keep us updated. Good luck!
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- January 24, 2017 at 1:42 pm
Yes I remember you told us about ur situation, and sorry to hear that the issue is persistent. May be you could see a new surgeon? May be your current surgeon is not very well experienced? Pls keep us updated. Good luck!
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- January 24, 2017 at 9:54 pm
Thanks for the reply, my surgeon has ordered an ultrasound guided perc drain with cathetor (not a permanent cathetor drain though). Trying to get scheduled for next week. I sure hope this works and they numb the area since it's deep. Anybody had this before?
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- January 26, 2017 at 12:32 am
Hi Aloha,
This is not an unusual complication with complete groin dissections and the longer it persists the more likely the fluid collection is lymph rather than serous fluid following the surgery.
You could ask your surgeon about sclerotherapy. This is where the fluid is drained and then an irritant is introduced into the cavity temporarily…common agents are iodine, alcohol etc. It is left there for a while ,whilst still in the clinic..then drained off. The irritation causes the sides of the cavity to stick together. It may require more than one session. You should find some info if you google lymphocele or lymphpocyst and sclerotherapy. The sclerotherapy term is often used when talking about varicose veins where a solution is injected to cause the vein to block and let the unsightly vein to fade away. Have also read about a product which I think was called a seromacath designed to be used to provide drainage for a number of days..allowing the sides of the seroma to heal. My problems with third were annoyingly persistent and I did a fair bit of reading. Most surgeons are reluctant to do multiple drainage procedures due to infection risk and as the void tends to refill pretty quickly putting you back in a similar position to before the drainage.
Was hoping you would have got some relief by now.. with compression and time.My biggest drainage was over 1 litre of pale straw coloured fluid. It did resolve eventually but the flesh where it was is still firmer than the surrounding tissue. It seemed to go that way fairly quickly one week but I had been struggling with it for over 3 months at that point.
Crossing my fingers you get some relief soon
Deb
X
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- January 26, 2017 at 12:32 am
Hi Aloha,
This is not an unusual complication with complete groin dissections and the longer it persists the more likely the fluid collection is lymph rather than serous fluid following the surgery.
You could ask your surgeon about sclerotherapy. This is where the fluid is drained and then an irritant is introduced into the cavity temporarily…common agents are iodine, alcohol etc. It is left there for a while ,whilst still in the clinic..then drained off. The irritation causes the sides of the cavity to stick together. It may require more than one session. You should find some info if you google lymphocele or lymphpocyst and sclerotherapy. The sclerotherapy term is often used when talking about varicose veins where a solution is injected to cause the vein to block and let the unsightly vein to fade away. Have also read about a product which I think was called a seromacath designed to be used to provide drainage for a number of days..allowing the sides of the seroma to heal. My problems with third were annoyingly persistent and I did a fair bit of reading. Most surgeons are reluctant to do multiple drainage procedures due to infection risk and as the void tends to refill pretty quickly putting you back in a similar position to before the drainage.
Was hoping you would have got some relief by now.. with compression and time.My biggest drainage was over 1 litre of pale straw coloured fluid. It did resolve eventually but the flesh where it was is still firmer than the surrounding tissue. It seemed to go that way fairly quickly one week but I had been struggling with it for over 3 months at that point.
Crossing my fingers you get some relief soon
Deb
X
U
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- January 26, 2017 at 12:32 am
Hi Aloha,
This is not an unusual complication with complete groin dissections and the longer it persists the more likely the fluid collection is lymph rather than serous fluid following the surgery.
You could ask your surgeon about sclerotherapy. This is where the fluid is drained and then an irritant is introduced into the cavity temporarily…common agents are iodine, alcohol etc. It is left there for a while ,whilst still in the clinic..then drained off. The irritation causes the sides of the cavity to stick together. It may require more than one session. You should find some info if you google lymphocele or lymphpocyst and sclerotherapy. The sclerotherapy term is often used when talking about varicose veins where a solution is injected to cause the vein to block and let the unsightly vein to fade away. Have also read about a product which I think was called a seromacath designed to be used to provide drainage for a number of days..allowing the sides of the seroma to heal. My problems with third were annoyingly persistent and I did a fair bit of reading. Most surgeons are reluctant to do multiple drainage procedures due to infection risk and as the void tends to refill pretty quickly putting you back in a similar position to before the drainage.
Was hoping you would have got some relief by now.. with compression and time.My biggest drainage was over 1 litre of pale straw coloured fluid. It did resolve eventually but the flesh where it was is still firmer than the surrounding tissue. It seemed to go that way fairly quickly one week but I had been struggling with it for over 3 months at that point.
Crossing my fingers you get some relief soon
Deb
X
U
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- January 24, 2017 at 9:54 pm
Thanks for the reply, my surgeon has ordered an ultrasound guided perc drain with cathetor (not a permanent cathetor drain though). Trying to get scheduled for next week. I sure hope this works and they numb the area since it's deep. Anybody had this before?
-
- January 24, 2017 at 9:54 pm
Thanks for the reply, my surgeon has ordered an ultrasound guided perc drain with cathetor (not a permanent cathetor drain though). Trying to get scheduled for next week. I sure hope this works and they numb the area since it's deep. Anybody had this before?
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