Post-Surgery Bleeding from Breast Fibrocystic Cysts: Causes and Care

Postoperative bleeding from a breast fibrocystic lesion?

I underwent surgery for a benign breast tumor on both sides on December 3, 2001, and was discharged on December 4.
I returned for a dressing change on December 7, and on December 8, I noticed bleeding from the wound, which led me to visit the emergency room.
I also consulted outpatient services, but the doctors simply said, "That's normal." I asked a fellow patient who had surgery on the same day, and she did not experience any bleeding.
It has now been 11 days since the surgery, and my wound is still bleeding, and the doctors are hesitant to remove the stitches.
I have the following questions: 1.
What could be the reason for my bleeding? 2.
Is there any concern with not having the stitches removed after such a long time? 3.
Are there any dietary or daily routine considerations I should be aware of? 4.
How should I care for the surgical wound postoperatively? When can I get the wound wet? I look forward to your response.
Thank you.

jenny, 20~29 year old female. Ask Date: 2001/12/17

Dr. Huang Zhihui reply Surgery

The breast is a highly vascularized organ, so it is common to experience bleeding or bruising at the surgical site post-operation.
However, if there is still bleeding at the wound site 11 days after surgery, it may indicate that there are blood vessels that have not completely clotted.
It is recommended that you promptly return to the original surgeon for follow-up.
The typical time for suture removal is about 7 to 14 days, but this varies from person to person and depends on the tension of the wound and the degree of healing, which should be assessed by a physician.
Diet and daily activities have minimal impact on wound healing.
It is advisable to keep the surgical wound dry and avoid contact with water, as exposure to bacteria in water can easily lead to infection.
Generally, if the wound has healed well after suture removal, it is safe to get it wet.

Reply Date: 2001/12/17

More Info

Post-surgery bleeding from breast fibrocystic cysts can be concerning, especially when it persists beyond the typical healing period. Here’s a comprehensive response to your questions based on medical knowledge and practices.

1. Causes of Bleeding: After surgery for breast fibrocystic cysts or benign tumors, it is not uncommon to experience some bleeding or oozing from the surgical site. The breast tissue is highly vascular, meaning it has a rich blood supply. If the bleeding persists for 11 days, it may indicate that there are still blood vessels that have not completely clotted or healed. Other potential causes could include the presence of a hematoma (a localized collection of blood outside of blood vessels) or an infection that could lead to increased vascularity and bleeding. It’s essential to monitor the bleeding closely, especially if it increases or is accompanied by other symptoms like pain or swelling.

2. Delay in Suture Removal: The timing for suture removal typically ranges from 7 to 14 days post-surgery, depending on the healing process and the surgeon's assessment. If your doctor is hesitant to remove the sutures, it may be due to concerns about the integrity of the wound and the potential for further bleeding or complications. It is crucial to follow your surgeon's advice in this regard. If the bleeding continues or worsens, it is advisable to return to your healthcare provider for a thorough evaluation.

3. Diet and Daily Activities: While diet does not significantly impact wound healing in most cases, maintaining a balanced diet rich in vitamins (especially vitamin C and zinc) can support the healing process. Avoiding alcohol and smoking is also recommended, as these can impair healing. In terms of daily activities, it is best to avoid strenuous exercise or heavy lifting that could strain the surgical site. Resting and allowing your body to heal is essential during this period.

4. Wound Care and Water Exposure: Proper wound care is vital to prevent infection and promote healing. Keep the surgical area clean and dry. You should follow your surgeon's instructions regarding wound care, which may include cleaning the area with saline or a prescribed antiseptic. It is generally advised to avoid submerging the wound in water (such as baths or swimming) until it has fully healed and the sutures have been removed. Showers are usually acceptable, but you should avoid direct water pressure on the wound.

In summary, while some bleeding post-surgery can be normal, persistent bleeding beyond a week warrants further investigation. It is essential to communicate openly with your healthcare provider about your symptoms and any concerns you may have. If you notice any changes in the bleeding pattern, increased pain, or signs of infection (such as redness, warmth, or discharge), seek medical attention promptly. Your health and recovery are paramount, and your medical team is there to support you through this process.

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