Seroma - unable to drain due to pain
My mastectomy was 8 days ago and it immediately developed what I now know is seroma. Basically it just looks like a B-cup boob, and has done since I first looked at it a few hours after the surgery.
Today the nurse tried to drain it by inserting the needle into the wound, on the armpit end of the incision. She assured me the wound would have no feeling. I assured her it has had full feeling this whole time - it's still red and scabby and sore. She said my nerves are probably regrowing already. But none of my tissue has felt numb since surgery day and the skin around it is more sensitive than when the breast was there. As in as sensitive as the nipple itself used to be. How can it be more sensitive not less?
She put the needle in the wound, and of course it was much too painful, so she stopped. I asked if she could insert the needle somewhere else on the mound (not via the incision itself) because that skin although sensitive isn't raw, but she said no, it had to be into the wound. She then identified a tiny (maybe 2mm) piece of scar tissue that's developed towards the other end of the wound and decided to try to reach the fluid through that. Although the needle was sharply painful, it wasn't as bad as it had been at the other end in the red raw wound. However after a few seconds she gave up, saying that the fluid might be too thick to go up the syringe.
Anyway, I'm back home now still with a "boob" that feels like a water balloon but now with really painful areas on the wound too, where the needles went in. She's given me an exercise sheet to start and has warned me that the fluid build up is likely to get worse as I do the exercises. She's said hopefully my body will absorb some of the fluid, or if the fluid build-up itself becomes too painful, I have to go back to her and she will try to remove it with a syringe again. I don't like the sound of that, given today's experience.
Has anyone else had a not-at-all numb wound a week after surgery? Why am I not numb? Like I've not had enough pain already.
Any suggestions about what I can do about reducing the fluid build-up (or at least not making it worse)?
And does anyone have any tips that helped them with the pain of needle drainage? (I had taken paracetamol and codeine beforehand, but it didn't make this pain even slightly bearable)
Thanks
Comments
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I’m so sorry you are having such issues. Do you have drains? Usually after mastectomy drains are inserted to prevent the very thing happening to you.
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I did have a drain in. The seroma was there even with it in. They took the drain out after 5 days. It still looks the same, in terms of all the fluid, as far as I can tell.
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I had recent surgery as well and have some mild seroma and just asked the nurse about it. She said I can apply ice or heat to the area and put the ace bandage back on to compress the area if it continues or gets worse.
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My relative had a seroma after lumpectomy and at some point (not only a week after surgery) a surgeon told her to use hot compresses. Maybe you should get a "second opinion" from the doctor. I don't think I would put up with the nurse and her needle again.
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I had a seroma after surgery as well. My doctor had me to place extra pads over the area underneath my surgical bra to generate additional mild compression. I did this for about a week to ten days before the seroma reabsorbed. I don't remember the pain level because at that point everything hurt.
The pain you describe might be because of your body's reaction to the trauma. I experienced that the first go round and was miserable. Couldn't stand to have anything touch my chest other than the surgical bra for several months. When I had my revision surgery last fall, my PS prescribed Gabapentin. What a game changer for me. It works to calm your nerve response.
Please make an appt to see your actual doctor, not a nurse. What you are experiencing needs to be further evaluated and certainly your pain needs to be addressed whether by removing the fluid or by medication. Please don't suffer through - fight for the care you need and deserve. Bless you I hope you get relief quickly.
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