Re: Re: To Dr. Kolb - question please - seroma?

June 6, 2002

If you had a seroma yo would have had allot of pain I would think. That is

the reason Feng and others use the drains because it keeps you from getting

a seroma.

I can't believe that you had that for so long strange.

Glad you are better now

----- Original Message -----

From: " kelijaye " <keli72@...>

< >

Sent: Wednesday, June 05, 2002 5:59 PM

Subject: Re: To Dr. Kolb - question please - seroma?

> Found some info on Seroma. Sounds similar to the fluid I had, but

> seems strange that it was there after 11 months still.

>

> Seroma-

> Seroma is a collection of the watery portion of the blood around the

> implant or around the incision. Postoperative hematoma and seroma may

> contribute to infection and/or capsular contracture. Swelling, pain,

> and bruising may result. If a hematoma occurs, it will usually be

> soon after surgery; however, this can also occur at any time after

> injury to the breast. While the body absorbs small hematomas and

> seromas, large ones will require the placement of surgical drains for

> proper healing.

>

> > > > > Dear Keli: What were the results of your capsular culture?

> > .

> > > > >

> > > > > -----Original Message-----

> > > > > From: kelijaye [mailto:keli72@b...]

> > > > > Sent: Tuesday, June 04, 2002 11:10 PM

> > > > > @y...

> > > > > Subject: To Dr. Kolb - question please.

> > > > >

> > > > > Dear Dr. Kolb,

> > > > >

> > > > > It would be greatly appreciated if you could answer this

> > question

> > > > for

> > > > > me, please bear with my explanation of the symptoms )

> > > > >

> > > > > I had my implants removed just a week ago and was wondering

> if

> > it's

> > > > > common for women to feel breast tissue pain? This may seem

> > like a

> > > > > strange question but I don't have ANY pain in the tissue

> itself

> > on

> > > > > the left hand side but the right hand side is extremely sore

> > when I

> > > > > touch it between the nipple and crease incision, but when I'm

> > not

> > > > > touching it I don't really feel it.

> > > > >

> > > > > I have all the normal pains that I have heard the other ladies

> > > > > describe, such as tiny shooting pains, muscle aches and

> incision

> > > > > soreness as well, along with swelling on the sides underneath

> > the

> > > > > armpits. These I am not worried about at all. But the

> strange

> > pain

> > > > > IN the tissue I do worry about, is it normal do you think?

> > > > >

> > > > > It is so far, a pain I can manage however, without medication.

> > > > >

> > > > > Thankyou.

> > > > > Kind Regards,

> > > > > Keli.

> > > > >

June 6, 2002

Based on the info Keli found, I guess a seroma can occur at any time, like a

hematoma can. And I'm only supposing this is seroma by the description--

but it could be a variation of one or something different. And I don't know any

particulars like texture? subglandular or submuscular?

I've only heard a few women having serous fluid surrounding the implant and all

had it found on explantation. My daughter had it with both sets of silicone

implants. I can't help but wonder if some bodies confer protection to

bacterial infection this way, as none I've heard of had one. (We always assume that something we don't know about is negative) It is well known in the literature

that bacteria adheres to biomaterials--it is the biggest problem with any kind

of implant. I wonder if this serous fluid provides a barrier to bacteria adhering

to the implant/capsule--at least for a much longer time than the rest of us.

And I also wonder if it provides a cushion to prevent rupture--kind of like the periodontal ligament around the root of the tooth--as none with which I am familiar had a rupture, either. It's very curious.

Bonnie

June 6, 2002

Didn't know what kind of implants Keli had--daughter had the

textured, but two different doctors called it serous fluid and

although puzzled, didn't seem to be real concerned.

It also occurred to me that many of us could have had this

and it just wasn't mentioned by our physicians. Most are

definitely not going to mention it this day and age, if in fact,

it's there. The roving surgical nurse may have put it in

her notes, though--that's where we found out about my

gross ruptures.

Bonnie

June 6, 2002

Well I do know that there is this thing, foam cell reaction and also with textured implants esp there is synovial metaplasia ( WHICH IS FLUID AROUND THE IMPLANT) That I had and I have heard that all textureds produce this effect. But I understand Keli only had the smooth implants so I do not know if that reaction would necessarily occur with those.