Post-Surgery Care for Subcutaneous Tumor Removal: Managing Fluid Accumulation - Surgery

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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.

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