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Ok, I found this about seroma's

Sometimes after an abdominoplasty or liposuction serum is produced

beneath the skin. This leads to a collection of fluid called a " seroma " . This

fluid will not clot and contains albumin, fat and red blood cells. It is clear

and yellow in color.

A seroma is usually noticed about 7-10 days after surgery and a few days

after drains are removed. It is seen as a swelling in the area undermined at

surgery. It is more common in the lower abdomen than the upper. Patients often

say they can feel fluid under the skin. When they move it is not uncommon to

feel this fluid move as well.

The initial treatment is to remove the fluid with a needle. This is

called " aspiration " . Often 150 ml of fluid is removed each time. This is done

once or twice a week and within a month the fluid has usually absorbed. A

pressure dressing is usually applied a at the same time to reduce the size of

the space under the skin and increase the likelihood of the pocket closing.

The fluid is rich in protein so it is important that the patient take

extra fluids and protein during this time. There is a small risk of the fluid

becoming infected so many surgeons use antibiotics.

If the seroma persists then it can cause a layer of fluid producing

tissue to line the pocket under the skin. If this happens then surgery is often

needed. Several methods have been described. Some surgeons like to remove the

lining layer. Others stitch the pocket closed with quilting stitches. In almost

all cases another drain is used.

In some cases irritant fluids may be instilled into the pocket in an

attempt to produce inflammation and closure of the pocket. Whether this helps or

encourages more fluid to be made is unclear and the technique is not commonly

used today.

Sue

Open RNY 10/26/98

From 500 lbs to 161

Dr Barry L Fisher

Truncoplasty 8/9/01

Brachioplasty Thighplasty 4/3/02

Dr Weiland

^v^v^v^v^v^v^v^v^v^v^v^v^v^v^v^v^

http://mygastricbypass.com or

http://www.lvcm.com/njtomato/

We are all angels with one wing - we need friends to help us fly.

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