Subcutaneous Lipomas: Post-Surgery Care and Concerns - Surgery

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Subcutaneous lipoma


Hello Dr.
Lee, my sister recently had a subcutaneous tumor removed from her left hand.
On the third day after the surgery, she rode a motorcycle and noticed some blood oozing from the sutured area.
She is currently using a synthetic skin dressing.
Is it normal to have blood oozing, or could it be that she pulled on the sutured area?

Fanrao de gege, 20~29 year old female. Ask Date: 2016/08/09

Dr. Li Zhonghuai reply Surgery


Hello! If there is blood seepage, use a sterile cotton swab to express it daily.
If the artificial skin turns white and cannot absorb the exudate, it should be changed immediately.
There is no need to worry about contact with tap water! Stay safe! Changhua Hospital cares about you!

Reply Date: 2016/08/09

More Info


When it comes to post-surgery care for subcutaneous lipomas, it's essential to understand what is considered normal and what may indicate a complication. After your sister's surgery to remove a subcutaneous tumor on her left hand, experiencing some blood oozing from the suture site three days post-operation can be concerning, but it is not uncommon.
Firstly, it's important to recognize that after any surgical procedure, especially one involving sutures, some degree of bleeding or oozing can occur as the body begins to heal. This is particularly true if the area has been subjected to movement or pressure, such as riding a motorcycle. The motion can indeed cause tension on the sutured area, potentially leading to minor bleeding or fluid accumulation.
However, while minor oozing can be normal, there are specific signs to watch for that may indicate a problem. If the bleeding is persistent, increases in volume, or is accompanied by other symptoms such as increased pain, swelling, redness, or discharge that appears yellow or green (which could suggest an infection), it would be prudent to seek medical attention.
In terms of care, it is crucial to keep the surgical site clean and dry. If your sister is using artificial skin or a similar dressing, she should ensure that it remains intact and is changed according to her doctor's instructions. If the dressing becomes saturated with blood or fluid, it should be changed promptly to prevent infection.
Additionally, it is advisable to avoid activities that could strain the area, such as heavy lifting or vigorous exercise, until the doctor gives the go-ahead. This includes riding a motorcycle, as the vibrations and movements could exacerbate the situation.
Regarding the healing process, most sutures used in skin surgeries are designed to dissolve on their own, but the time frame for complete healing can vary. Generally, the outer layer of skin may take about 7 to 10 days to heal sufficiently, while deeper tissues may take longer. Your sister should follow up with her healthcare provider for a post-operative check-up, where they can assess the healing process and remove any non-dissolvable sutures if necessary.

In summary, while some blood oozing can be a normal part of the healing process after lipoma removal, it is essential to monitor the situation closely. If there are any concerns about the amount of bleeding or signs of infection, it is best to consult with her surgeon or healthcare provider. Proper care and attention to the surgical site will help ensure a smooth recovery.

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