Postoperative wound after subcutaneous tumor excision?
Hello, doctor.
At the junction of the perineum and scrotum, a subcutaneous tumor measuring approximately 3 cm in length, 1.5 cm in width, and 2 cm in depth was surgically removed.
During the first follow-up visit, the surgeon mentioned it was serous fluid and prescribed antibiotics.
I feel that my condition has improved, and there was no drainage on the day the stitches were removed.
However, the next day at home, I noticed fluid again.
The stitches have been removed, and it has been 3 days post-surgery, now on the 10th day, it seems that a space has developed at the site where the tumor was removed.
When I apply pressure around the wound towards the incision, a small amount of fluid still drains from the stitch holes, which is odorless and a very light yellow mixed with a faint blood color.
Currently, I squeeze it every two days, about 2-3 times a day, with each squeeze yielding approximately the amount of 2-3 teaspoons of saliva.
Should I continue to deliberately squeeze the fluid out of the wound? Thank you for your response.
lee, 40~49 year old female. Ask Date: 2023/03/16
Dr. Li Zhonghuai reply Surgery
Hello! Every day, you need to drain the tissue fluid, and if the sterile gauze gets wet, it needs to be changed.
If the tissue adheres together, the cavity will disappear.
Take care! Changhua Hospital is concerned about you!
Reply Date: 2023/03/16
More Info
Post-surgery care, especially after the removal of a subcutaneous tumor, is crucial for ensuring proper healing and minimizing complications such as fluid accumulation. In your case, it seems that you are experiencing seroma formation, which is a common occurrence after surgical procedures. A seroma is a collection of fluid that builds up in the tissue, often in the area where surgery was performed.
Understanding Seroma Formation
Seromas can develop due to several factors, including the surgical technique used, the extent of tissue disruption, and individual healing responses. After surgery, the body’s inflammatory response can lead to the accumulation of lymphatic fluid in the surgical site. This fluid is typically clear or slightly yellow and may contain some blood, especially in the early stages post-surgery.
Management of Fluid Accumulation
1. Observation: In many cases, seromas resolve on their own as the body reabsorbs the fluid. If the amount of fluid is small and not causing significant discomfort or complications, it may be best to simply monitor the situation.
2. Compression: Applying a compression bandage or garment to the area can help reduce fluid accumulation by providing support and minimizing movement, which can exacerbate fluid buildup.
3. Drainage: If the seroma is large or causing discomfort, your healthcare provider may recommend aspiration, which involves using a needle and syringe to remove the fluid. This procedure can provide immediate relief and may need to be repeated if fluid reaccumulates.
4. Avoiding Excessive Manipulation: While it may be tempting to manually express the fluid from the site, this can lead to increased irritation and potential infection. It is generally advisable to avoid squeezing or pressing on the area excessively. Instead, allow your body to heal naturally, and consult your physician if the fluid accumulation persists or worsens.
5. Medication: Your doctor has prescribed medication (likely an antibiotic or anti-inflammatory) to help manage any potential infection and reduce inflammation. It’s important to follow the prescribed regimen and report any signs of infection, such as increased redness, warmth, swelling, or discharge.
When to Seek Medical Attention
You should reach out to your healthcare provider if:
- The fluid accumulation increases significantly.
- You notice any signs of infection.
- You experience increased pain or discomfort in the area.
- The fluid has a foul odor or changes in color.
Conclusion
In summary, while it is important to manage fluid accumulation after surgery, excessive manipulation of the area is not recommended. Instead, focus on following your physician's advice, using compression if suggested, and monitoring the situation closely. If you have concerns about the amount of fluid or any other symptoms, do not hesitate to contact your healthcare provider for further evaluation and guidance. Your recovery is paramount, and maintaining open communication with your medical team will help ensure the best possible outcome.
Similar Q&A
Managing Post-Surgery Seroma After Breast Cancer Treatment
Dear Dr. Hsu, I was diagnosed with stage I breast cancer last July. The doctor assessed that I needed six rounds of chemotherapy, a year of targeted therapy, 22 sessions of radiation therapy, and 5 to 10 years of hormone therapy. I underwent a partial mastectomy at the end of Au...
Dr. Xu Kaixi reply Surgery
Hello, based on your description, the newly formed fluid accumulation is related to the surgical wound from last year's partial mastectomy. According to the physician's assessment, there is currently only a 2.5 cm small wound remaining. However, since it has been three ...[Read More] Managing Post-Surgery Seroma After Breast Cancer Treatment
Understanding Subcutaneous Lipomas: Post-Surgery Care and Concerns
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 oozin...
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 yo...[Read More] Understanding Subcutaneous Lipomas: Post-Surgery Care and Concerns
Post-Surgery Axillary Pain and Fluid Accumulation in Ductal Carcinoma
Hello Doctor, I would like to ask about ductal carcinoma in situ. I have undergone a partial mastectomy, during which two sentinel lymph nodes were removed, and they showed no cancer cell metastasis. Post-surgery, there is no swelling in my arm, but I have lymphatic fluid accumul...
Dr. Li Zhonghuai reply Surgery
Hello! Fluid accumulation in the axilla is produced by lymphatic vessels. Generally, lymphatic vessels will repair themselves after surgery, and the fluid will gradually be absorbed. You can use a compression garment to apply slight pressure, but some patients may require multipl...[Read More] Post-Surgery Axillary Pain and Fluid Accumulation in Ductal Carcinoma
Managing Muscle Tears and Fluid Accumulation After a Car Accident
Hello, doctor. Last April, I was involved in a car accident after work, which resulted in a muscle tear on the outer side of my thigh. During the recovery process, I developed a fluid accumulation of about 1500 ml. Initially, I thought my body would absorb the blood and fluid fro...
Dr. Li Zhonghuai reply Surgery
Hello! The cavity formed by this type of contusion hematoma usually resolves gradually with ultrasound-guided aspiration in an outpatient setting. If there is persistent fluid accumulation, some physicians may administer antibiotics into the cavity, which can help it adhere over ...[Read More] Managing Muscle Tears and Fluid Accumulation After a Car Accident
Related FAQ
(Surgery)
Post-Fistula Surgery(Surgery)
Tumor(Surgery)
Post-Hemorrhoid Surgery(Surgery)
Post-Inguinal Hernia Surgery(Surgery)
Leg(Surgery)
Wound(Surgery)
Fibroma(Surgery)
Post-Anal Fistula Surgery(Surgery)
Post-Prostate Surgery(Urology)