Post-Surgery Issues After Axillary Cyst Removal: What to Expect - Dermatology

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Post-operative complications after axillary sebaceous cyst excision?


Hello, I had an axillary sebaceous cyst removed about a year ago, around June 16.
For the next two months, there was still some serous fluid drainage.
Additionally, it feels like a muscle root may have been over-excised, as I experience slight twitching and some pain in the inner thigh muscles every night until today.
How should I address this situation? Is this considered normal? Thank you.

Niming, 50~59 year old female. Ask Date: 2018/06/04

Dr. Wu Yuxin reply Dermatology


You should consult the surgeon who performed your operation, as they are the most knowledgeable about your condition.

Reply Date: 2018/06/04

More Info


After undergoing axillary cyst removal, it's not uncommon to experience a range of post-surgical symptoms, including fluid drainage, discomfort, and muscle spasms. Here’s a comprehensive overview of what you might expect and how to manage these issues.


Post-Surgery Symptoms
1. Fluid Drainage: It's not unusual to have some fluid drainage from the surgical site for a few weeks after the procedure. This can include blood-tinged fluid, which may be a result of the healing process. However, if you are experiencing significant amounts of fluid or if it persists beyond a couple of months, it’s advisable to consult your surgeon. Persistent drainage could indicate a seroma (a pocket of clear fluid) or other complications.

2. Muscle Discomfort and Spasms: The sensation of having "cut" muscle or experiencing muscle spasms in the inner arm can be attributed to several factors. During the surgery, the surrounding tissues, including muscles and nerves, may have been affected. This can lead to temporary muscle tightness or spasms as the body heals. It’s important to note that while some discomfort is expected, ongoing pain or severe spasms should be evaluated by a healthcare professional.

3. Pain Management: If you are experiencing pain or discomfort, over-the-counter pain relievers such as ibuprofen or acetaminophen can be helpful. However, if the pain is severe or persistent, it’s crucial to reach out to your doctor for further evaluation. They may recommend physical therapy or other interventions to help alleviate muscle tension and improve mobility.


When to Seek Medical Attention
- Persistent Symptoms: If the fluid drainage continues for more than a few weeks, or if you notice an increase in redness, swelling, or warmth around the surgical site, these could be signs of infection or other complications that require medical attention.


- Severe Pain: If the pain becomes unmanageable or if you experience new symptoms such as fever, chills, or significant swelling, it’s important to contact your healthcare provider.

- Muscle Weakness: If you notice any weakness in the arm or difficulty moving it, this could indicate nerve involvement or other complications that should be assessed.


Recovery Tips
1. Rest and Gradual Activity: Allow your body time to heal. While light activity is encouraged, avoid heavy lifting or strenuous exercise until you receive clearance from your doctor.

2. Physical Therapy: If muscle spasms or discomfort persist, consider consulting a physical therapist. They can provide targeted exercises to strengthen the muscles around the surgical site and improve flexibility.

3. Follow-Up Appointments: Ensure you attend all follow-up appointments with your surgeon. These visits are crucial for monitoring your recovery and addressing any concerns you may have.

4. Healthy Lifestyle: Maintain a balanced diet rich in vitamins and minerals to support healing. Staying hydrated and getting adequate rest will also aid in your recovery.


Conclusion
While some post-surgical symptoms are normal after axillary cyst removal, it’s essential to monitor your condition closely. Fluid drainage and muscle discomfort can occur, but if these symptoms persist or worsen, seeking medical advice is crucial. Your healthcare provider can offer tailored recommendations based on your specific situation, ensuring a smoother recovery process. Remember, your health and comfort are paramount, so don’t hesitate to reach out for help when needed.

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