Post-Surgery Breast Cyst: Wound Discharge and When to Seek Help

Postoperative discharge from breast fibrocystic surgery?

Dear Doctor, I had breast fibroid surgery in July in the southern part of Taiwan.
Currently, I am working in the north and cannot return to my original hospital for a follow-up appointment.
Yesterday, while changing the non-adhesive bandage myself, I noticed several small black holes on the scar from the surgery.
When I squeezed them, a soft black substance came out, which turned white and remained soft, then became yellowish, resembling pus, and eventually turned into yellow fluid mixed with blood.
I apologize for the vague description.
Should I go to the hospital for an examination? Thank you.

Yijun, 30~39 year old female. Ask Date: 2015/09/15

Dr. Zhou Jiazhen reply Breast and Thyroid

If there is exudate from the wound and surrounding redness and swelling, it is recommended to seek outpatient evaluation.
If there is inflammation, it generally takes several months to improve.

Reply Date: 2015/09/15

More Info

After undergoing breast surgery, it is not uncommon to experience various post-operative symptoms, including wound discharge, which can be concerning. Based on your description, it sounds like you are observing a series of changes in the discharge from your surgical site, transitioning from black to white, then yellow, and finally to a bloody fluid. This progression can indicate several potential issues, and it is essential to understand what these changes might mean and when to seek medical attention.

Firstly, the presence of black, soft material could suggest necrotic tissue or dried blood, which may occur if there is inadequate healing or if the wound is not properly draining. The subsequent changes to a white, soft substance could indicate the presence of pus, which is a sign of infection. The yellow fluid you describe is often associated with the body’s inflammatory response to infection, and the final stage of bloody discharge could indicate that the wound is not healing properly or that there is a complication such as a hematoma or seroma.

In general, any discharge from a surgical wound that changes in color, consistency, or odor should be evaluated by a healthcare professional. Here are some key points to consider regarding your situation:
1. Signs of Infection: If you notice increased redness, swelling, warmth around the wound, or if you develop a fever, these are signs of infection that require immediate medical attention. The presence of pus (yellow discharge) is a strong indicator of infection.

2. Wound Healing: Surgical wounds typically go through various stages of healing. However, if you are seeing unusual discharge or if the wound appears to be worsening rather than improving, it is crucial to consult with a healthcare provider.
3. Necrotic Tissue: The black material you described could be necrotic tissue, which may need to be debrided (removed) by a healthcare professional to promote proper healing.

4. Fluid Accumulation: The presence of fluid (seroma or hematoma) can occur after surgery. If the fluid is not reabsorbed by the body, it may require drainage.

5. Follow-Up Care: Since you mentioned that you are unable to return to your original hospital, consider seeking care at a local facility. Many hospitals have protocols for managing post-operative complications, and they can provide the necessary evaluation and treatment.

6. Telemedicine Options: If traveling to a hospital is challenging, you might also consider telemedicine consultations. Many healthcare providers can assess your situation through video calls and provide guidance on whether you need to seek in-person care.

In summary, based on your description, it is advisable to seek medical attention as soon as possible. Changes in wound discharge, especially those that suggest infection or necrosis, should not be ignored. Prompt evaluation and treatment can prevent further complications and promote better healing outcomes. Always prioritize your health and do not hesitate to reach out for help when you notice concerning symptoms.

Similar Q&A

Managing Post-Surgery Leakage from Breast Fibroadenoma Incision: What to Do?

It has been about 20 days since my breast fibrocystic cyst surgery, but a part of the wound is still oozing a little blood-tinged fluid. Regarding a 3 cm wound, the lower 2.5 cm has already closed, but the upper 0.5 cm has not closed (it looks like a small hole) and is still oozi...

Dr. Xie Wenhuai reply Breast and Thyroid
After surgery, sometimes a small amount of blood can accumulate under the wound, causing a delay in healing. As long as the blood is drained, the wound will heal quickly. There's no need to worry.

Post-Surgery Stitch Allergy: When to Consider Removal?

Hello, doctor. I underwent surgery for a breast cyst at the end of January, and since then, the surgical site has been oozing a small amount of fluid, with some sutures protruding. During my follow-up appointment, an ultrasound revealed a mass (fluid/blood?). The doctor mentioned...

Dr. Yuan Tianmin reply Breast and Thyroid
If the wound continues to fail to heal repeatedly, the sutures should be removed; otherwise, healing the wound will be quite difficult.

Understanding Post-Surgery Cyst Wound Care and Infection Signs

I had a cyst removed near my buttocks, anus, and vagina six days ago. The stitches sometimes cause a stinging pain, and I've noticed some yellow discharge on the gauze when changing the dressing. When I squat, yellow discharge comes out of the wound. I visited the surgeon fo...

Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it is impossible to make a definitive assessment. You should consult your attending physician, as they are most familiar with your condition.

Understanding Nipple Discharge: Causes and When to Seek Help

Hello, doctor. I have a breast fibrocystic condition. Previously, I experienced bleeding from my left nipple, and after consulting with a physician at a large hospital, I underwent surgery. I have been monitored every six months since then. Recently, I noticed that when I gently ...

Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to consult the surgeon who originally performed your operation for an ultrasound. Fibrocystic changes near the nipple can sometimes present this way. Changhua Hospital cares about you!