Fluid in port area

cathy0523
on 5/14/10 2:15 am - Joliet, IL
I went to the doctor today about the softball sized swollen area.  It turns out that I have fluid building up in the pocket that they placed the pouch.  The doctor used a needle and drained a lot of fluid out of it and says that I will more than likely have to have it done again.  Other than that all is well with my band and healing. 
                
spunkie
on 5/14/10 2:30 am
so glad to hear that Cathy.  I know that must of had you worried.

    
SandyR
on 5/14/10 4:40 am - Portland, OR

Cathy, This is called a seroma, and is quite common at the port si in the days after band surgery. The fluid can be manually expressed if the doctor has instructed at surgery about seromas, so then the fluid rarely builds up  enough to require needle drainage.

Is he having you now gently squeeze out any  further fluid, so it does not build up and require regular needle dainings? This is the common practice and treatment.

 

Sandy r
band educator
at normal BMI goal 6+ yrs
banded 7+ yrs



DISCLAIMER:  Any suggestions or comments are not intended as medical advice, but only as general information. Please always contact your own surgeon or his staff for any specific problems or concerns you are having. Although I have many years as a medical professional and band educator,  I offer suggestions here only  as an experienced Bandster. 
cathy0523
on 5/14/10 8:28 am - Joliet, IL
No, he told me to let him know if it leaks out or if puss comes out.  Otherwise, he said he would probably have to drain it again before it resolves.  I just need to watch for signs of infection in the mean time.
                
SandyR
on 5/14/10 12:00 pm - Portland, OR

Cathy, The standard treatment of a seroma,  from the moment the patient notices the seroma (having been  ideally taught about this in the post-op discharge teaching)  is for the patient to start pressing around the edges of the wound 4-6 times a day to press out the fluid so that it does not accumulate and the tissues inside dry and heal. This usually prevents the need to use a needle to aspirate the fluid after it builds up - which is both painful and can itself cause an infection.

Further, the accumulation of fluid can become infected  if allowed to sit there, which is never good. Port are infections can be very serious, require intensive antibiotics, and are a main cause of erosions that occur months and years later. Any infection around the port that is not aggressively treated can simmer inside, unknown, for many months and eventually cause an erosion. Erosions always require band removal, and they can be quite serious and occasionally cause death from peritonitis 

Much of good band care is the PREVENTION of complications and the very serious problems by very thorough education of the patient by the surgeon and his Team.

You might want to discuss all this with your surgeon, and ask him what you can do to prevent the seroma from recurring. I know you're very new at all this, but we ourselves have to take a very active and PRO-active role in learning all we can about our bands and stomachs, so we have a good chance at keeping our bands.

NO ONE cares as much about keeping our bands and stomachs safe as WE must. Lots to learn, for sure!


Sandy R

 

 



DISCLAIMER:  Any suggestions or comments are not intended as medical advice, but only as general information. Please always contact your own surgeon or his staff for any specific problems or concerns you are having. Although I have many years as a medical professional and band educator,  I offer suggestions here only  as an experienced Bandster. 
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