Where does seroma fluid come from?

Seromas develop as a result of damage to blood and lymphatic vessels that occurs during surgery or as the result of an injury. Fluid and cells from the damaged vessels leak into the tissues and form a soft fluid collection.

How does a seroma drain?

Your doctor may suggest draining the seroma if it's large or painful. To do this, your doctor will insert a needle into the seroma and remove the fluid with a syringe. Seromas may return and your doctor may need to drain a seroma multiple times. In some cases, your doctor may suggest removing the seroma entirely.

Where does a seroma form?

A seroma is a collection of fluid under the surface of your skin. They usually occur during or after surgery and fill space where tissue has been removed.

What is seroma fluid made of?

A seroma contains serous fluid. This is composed of blood plasma that has seeped out of ruptured small blood vessels and the inflammatory fluid produced by injured and dying cells. Seromas are different from hematomas, which contain red blood cells, and abscesses, which contain pus and result from an infection.

How do you prevent seroma fluid?

What is a Seroma? | Fluid Build Up After Surgery | Symptoms and Treatment | Dr. Daniel Barrett

How do you speed up seroma reabsorption?

Increasing the circulation to the healing area will often help to reduce the swelling. The fluid will be reabsorbed into the blood stream faster and the increased blood flow will bring oxygen and nutrients to the newly forming tissue. Heat is an excellent way to increase circulation to an area.

Why does fluid build up after surgery?

Surgery causes damage to the blood and lymph vessels and surrounding tissue. An inflammatory response occurs, and the severed vessels and tissues will produce clear fluid in response. This is why there is pain and swelling after surgery. In some cases, the fluid forms a pocket, which leads to the formation of a seroma.

Is a seroma lymphatic fluid?

It's theorized your body responds to the trauma of surgery by releasing serous fluid that probably comes from the lymphatic system. Other health experts say the fluid in a seroma represents a mix of lymph and serum. During surgery, doctors may place tubes in your wound to drain off excess fluid.

Why does fluid build up around a wound?

Purulent drainage is a sign of infection. It's a white, yellow, or brown fluid and might be slightly thick in texture. It's made up of white blood cells trying to fight the infection, plus the residue from any bacteria pushed out of the wound.

What happens if you don't drain a seroma?

If a seroma persists, surgical removal may be considered. Large, untreated seromas pose an increased risk of infection, and they may develop a fibrous capsule, complicating drainage.

How do you get rid of excess fluid after surgery?

Does compression help seroma?

Compressing the abdominal area (and typically using a drain as well) can help to prevent a seroma from forming. The compression garment should be worn for about 3 to 6 weeks, depending on your surgeon's instructions.

Does exercise help seroma?

Delaying exercises significantly decreases seroma formation (OR=0.4; 95%CI 0.2-0.5; p=0.00001). No significant differences were found for drainage volume or hospital stay. Conclusion: Current evidence from RCTs supports the use of a delayed program of arm exercises to reduce seroma formation.

Can I drain a seroma myself?

Most seromas can be reabsorbed into your body, sometimes it can take almost a month. However, in severe cases it can take a year and you may experience hardening once the seroma heals. Manual lymphatic drainage is the most recommended treatment by surgeons to prevent and drain seromas without a medical intervention.

How long will a seroma drain?

Most seromas are reabsorbed back into your body in about a month, but in some cases it can take up to a year. If the area becomes painful or the seroma doesn't improve, your doctor can drain the seroma.

How often should a seroma be drained?

Traditionally, common treatment encompasses aspiration of the seroma with a syringe and a 14- to 18-gauge needle, performed once or twice a week, and a local compressive bandage.

Will antibiotics help a seroma?

A small seroma may go away without treatment. You may need any of the following to treat a large seroma: Antibiotics may be given if the seroma becomes infected with bacteria. Aspiration is a procedure used to remove the fluid.

What is the clear yellow fluid that leaks from wounds?

Serosanguineous is the term used to describe discharge that contains both blood and a clear yellow liquid known as blood serum. Most physical wounds produce some drainage. It is common to see blood seeping from a fresh cut, but there are other substances that may also drain from a wound.

Is a seroma serious?

A seroma is not often dangerous, but it can cause pain and discomfort. If you have a seroma, your doctor or care provider can offer advice or relief.

Does seroma lead to lymphedema?

Symptomatic seroma is associated with increased risk of developing lymphedema symptoms following breast cancer treatment. Patients who develop symptomatic seroma should be considered at higher risk for lymphedema symptoms and receive lymphedema risk reduction interventions.

What does an infected seroma look like?

Symptoms of a seroma include swelling at or near a surgical site and leakage of clear fluid through the incision. The area may or may not be painful. If infection develops, additional symptoms can include leakage of pus, redness, warmth or swelling, tenderness, or fever and chills.

Is a seroma hard or soft?

A seroma is a build-up of straw-coloured bodily fluids in an area where tissue has been removed at surgery. The fluid can make the area feel hard and this can become uncomfortable. Your surgeon may place a drain in the surgical site to control the fluid initially.

Why is my incision still draining?

Deeper wounds involving thicker layers of tissue are more likely to produce sanguineous drainage, or thicker red blood. This typically occurs shortly after the wound has formed. If red blood is still draining after several days, it may indicate that there has been further damage to the wound.

How do you aspirate a seroma?

In some cases, if there is an excessive amount of fluid, the seroma is very painful or it is putting a strain on the stitch line from surgery, it may have to be drained and this is called a seroma aspiration. This involves inserting a needle under the skin and attaching it to a syringe to aspirate the fluid.

How can I prevent seroma after mastectomy?

External compression dressing to the chest wall and axilla to obliterate the dead space has been traditionally used to reduce the incidence of seroma formation. Compression dressing generally has been abandoned, as there is only anecdotal evidence in support of its use after surgery for breast cancer.