• Seroma after Latissimus Flap reconstruction

    Asked by JudithCST on Sunday, December 2, 2012

    Seroma after Latissimus Flap reconstruction

    In April I had a bilateral mastectomy and latissimus flap reconstruction. I went home from the hospital with four drains, which didn't come out for about 7 weeks. I then developed a huge seroma on the left side of my back. Since then I have had a drain replaced in that area twice, each time for 6 or 7 weeks. They tell me that this normally resolves in a week or two, but in my case, it's not closing and keeps producing fluid. Has anyone else had experience with this?

    8 Answers from the Community

    8 answers
    • nancyjac's Avatar
      nancyjac

      I had one after my surgery as well. It was needle aspirated and then partially filled back up. I was doing lymphatic massage at the time and I massaged the seroma daily to distribute the fluid. Eventually (took about 2 months), it was pretty much gone. If I feel carefully for it, I can just barely feel it about pea size under my skin.

      about 4 years ago
    • JudithCST's Avatar
      JudithCST

      Every time the doctor takes the drain out I have to go for weekly aspirations, but it never seems to go down. The last drain I had was still producing over 100 CC's a day. I can't do it when the drain is in, but I'm about to start it again. Thanks for letting me know it helped. That's encouraging. I'll stick with it.

      about 4 years ago
    • RachelB's Avatar
      RachelB

      I had this happen on my abdomine after a tummy tuck. It took 3 months of needle asperations and I had the drains out but they had to put them back in, Then one drain at a time as it slowed down and it was slow.We just kept at it and finally it stopped and finished healing.I look back on this and wonder if other health concerns has somthing to do with it. I would make them take tests to make sure there is not somthing behind you retaining water for ease of mind.

      about 4 years ago
    • JudithCST's Avatar
      JudithCST

      Thanks Rachel. They haven't really found any underlying cause in my lab work. But I'll take both of your advice and continue with the lymphatic massage and try to be patient. It helps to know I'm not the only one who's experienced this.

      about 4 years ago
    • nancyjac's Avatar
      nancyjac

      Rachel, a seroma is not at all related to edema (swelling from water retention). A seroma is a pocket of clear serous fluid that sometimes develops in the body after surgery. When small blood vessels are ruptured, blood plasma can seep out; inflammation caused by dying injured cells also contributes to the fluid.

      about 4 years ago
    • Carol-Charlie's Avatar
      Carol-Charlie

      I'm sorry you have to deal with this. I pray it clears up soon.

      about 4 years ago
    • JudithCST's Avatar
      JudithCST

      Thanks Carol. I appreciate that.

      about 4 years ago
    • RachelB's Avatar
      RachelB

      Ok Nancy I see your point. I just have had to learn that I don't always take what is being told to me by well meaning friends or Doctors as the absolute truth. If I had not been in a position of denial about taking care of my self and putting my self first after being a care giver to my grandfather for 7 years I possibly would have seen symptoms of mine instead of shaking the idea off. I have stage 4 lymphoma.Had my first chemo today. I'm not an expert of any kind but getting a second opinion never hurts. When I gave the comments they were not entended to be the exact answer.I was suggesting a possibility that maybe there is something hindering her healing. I know what a seroma is I had one.I would not want to be in a place to say that my answer is the right one.I don't need to be right. But I began to have other areas of my body retaining water not long after the seroma and thought oh it must be blood pressure now.I went to a different Dr and I stopped there. It was not all of the problem.I was taking a blood pressure med that caused me to have a reaction yes that helped me retain water and then 3 months later I'm diagnosed with cancer. The whole picture did not become clear and the journey of finding answers is a personal one. I had to keep going. I had brainsurgery for a rare condition 5 years ago. Arnold Chiary syndrome 1. It started by me having vertigo and then loosing hearing. I pushed and finally shoved my self to Dr.s at the final point before it was diagnosed I was loosing my eye sight and then while waiting for the surgery from the best in Seattle I began to loose my ability to stand up.I ended up in a wheelchair and it was not clear if any of the neuro problems would reverse themselves after surgery. I had actual MRI's that said possible Arnold etc and a neuro Dr, said that is so rare that it could not possibly be that. You buddy are fired. The next day I had a new neuro guy who looked at the pictures and understood them and he turned white,
      Breathing was the next thing to be shut down had I waited. The surgeon said if I litterly had not pushed my way into his office to be seen I would not have been here.Sorry my spelling is terrible tonight.
      For my non hodgkins My sisterinlaw was told with her breast cancer to be extreemly carefull about massage.She told me not to do it to be carefull..That was massage in general, The cancer center she attends back east told her this. Although she is very wise has a masters degree I will ask my doctor what he thinks . Your story is good and encouraging and well taken
      and a possible solution. I do hope Judith that this clears up quickly and it possibly is an easy answer.Sorry for you discomfort.

      about 4 years ago

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