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Melhay's avatar
Melhay
Member
9 years ago

Post Re-Excision Seroma

Well our first official weekend in Port Macquarie after the recent move here last didn't quite go according to plan.

Seems I'm of the lucky ones (again!) who develop a seroma after re-excision surgery.

After experiencing swelling & pain in my breast last week, on Sat morning a large amount of yellow brown fluid literally exploded through my recent & healing re-excision scar. This was followed by severe pain.

Went straight to the Emergency Dep't & ended up spending the long weekend (& my birthday) in Port Macquarie Base Hospital. 

Finally got out today (Tues). Am still very sore but at least the swelling has gone down considerably & the pain is manageable with ongoing medication.

On the positive side the staff were absolutely brilliant - very support, understanding & very attentive. I never knew my tiny breast was capable of producing such copious amount of infected fluid & that these things could be more painful than my 3 previous Breast Cancer surgeries! 

The irony was I stayed in the Maternity Unit, so the sounds of crying newborns babies brought back memories of the severe mastitis & feeding problems I experienced 16yrs ago when my daughter was born & here I was back in the Maternity ward nursing a breast abscess!

Hope everyone else had a more pleasant Oct long weekend.


 
  • Karenne & RennieBabe - thanks for sharing your experience :) 

    Very helpful to have an idea of how long these things can take to heal.

    The good news is the swelling & fluid output has significantly reduced in the last 2 days which is a relief. Around my nipple is still very sore & throbs when the meds wear off though - which is where everyone suspects the abscess is. 

    On the positive side however I'm definitely feeling a lot better than a week ago!


  • Karenne - almost identical story to mine.  Eventually it just decided to clear up on its own after all the meds, aspirations etc.  In fact doctors were thinking of delaying the start of radiation due to it - but it actually helped.
  • Hi Mel,  my history is - diagnosed in December 2013 and then 6 rounds of Chemo followed by a month off then surgery - bilateral mastectomy 4 June 2014 and then approx.4 weeks later I commenced 6 weeks of radiation.  The Seroma just kept on developing.  I actually lost count of how many times I had it aspirated.  Fortunately because the area was numb from the surgery I never felt it at all.  My Radio Onc used to drain off mountains of fluid - I was quite embarrassed.  I said to him one day that I felt like a dairy cow and he said to me and he felt like the farmer.....lol!!!  My Breast Surgeon also aspirated it many times as did the Emergency Dept of St Andrews Hospital.  When I was admitted with the infection - the Doctor merely put in the Canula and held a kidney bowl underneath and it just ran out like water.  I like you had a very sore chest, raging headache and felt like sxxt.  When they did a blood test my white cell count came back at 24000 and its supposed to be around 10,000 to 12,000.  Once I was admitted by Surgeon prescribed Pethadine for me on the first night so that I would get a good sleep plus, I think it was 4 hourly IV's.  All I remember is a nurse bustling into my room in the middle of the night switching on lights and waking me up.  The Surgeon used to come and see me each day and aspirate it then too.  I'm not sure if I was a significant case or not but I had my surgeon completely baffled.  He told me he had been asking all his colleagues for ideas as to what he could do.  I also found out much later that my Rads Onc had also spoken to him in this regard.  One of the things I did do was go to the Lymphodema Laser Clinic here in Adelaide and had some Laser Treatment to the area which kind of helped too.  Hope yours all subsides in due course and you get on with your life.
    Best wishes Karenne

  • Hi Karenne,

    Thankyou very much for sharing your experience :) 

    Really helpful to know what I could be in for.

    I just assumed after being in hospital on IV antibiotics & several attempts to drain it, that the abscess would heal without any further intervention after being discharged from hospital.

    The Wound Clinic nurse has since explained however that because I haven't had an ultrasound yet & my breast surgery was done out of town (we've just moved here to Port Macquarie), it's all a bit of a guessing game because they don't yet know exactly where the abscess is & how big it was to start with.

    I've been referred to & have an appointment with a local general surgeon on Monday who will hopefully be able to get to the bottom of it.

    Did you have Radiation Therapy while you still had the Seroma?

    Mel 
  • Hi there Melhay, although I'm 2 years post treatment and surgery I can tell you, I ran a similar gauntlet.  From the time of surgery for at least 4 months I developed this horrid Seroma and no matter how many times it was aspirated it kept on reforming.  I had my Surgeon going crazy trying to work out why.  I had a re-excision and he put Tissue Glue in which stuck all the tissue down, however the Seroma kept on forming. I then, like you ended up with an infection in the Seroma and spent 6 days in hospital on IV antibiotics and it still formed.  Surgeon then thought maybe "permanent drains" well had them put in on the Thursday, one fell out on the following Sunday and the other on Tuesday.  Eventually he  decided just to leave the hole where he had placed the drain open and I wore a dressing over the site until such time as the Seroma just stopped forming.  I also took Nurofen or Advil which have some kind of healing in them and after about 5 weeks it just healed all by its self and I've not had the problem since.  Just hang in there and it will sort itself out.  Good to hear you had lovely staff at the Hospital to care for you.
  • How awful but so glad you seem to have a fabulous hospital in many areas.
  • Thanks for your kind words Lyn & Jane :)
    Cath, that awesome birthday cake made my day :) :) thankyou xxxxx

    Had my first appointment at the wound clinic today.

    The nurse was so helpful. After extracting more fluid from the abscess she showed me how to massage the infected breast to get more puss & fluid out & dress the wound properly at home. Can't believe how much stuff is still coming out of this thing!

    Still quite sore but the prescription meds take the edge off the pain quite well.

    Have another appointment at the wound clinic tomorrow morning.

    Radiation & Medical oncologists have also been in touch regarding appointments for next stage of Treatment.

    We've only been here in Port Macquarie for 2 weeks & the speed & level of service provided through the public health system (for myself & my daughters ongoing mental health treatment) has been amazing. Makes me feel more confident we've made the right decision moving here.



  • Oh Mel, not the best introduction to your new home and what a way to spend your birthday! Glad the staff were good though and hopefully you can have a proper birthday celebration now. Best wishes, Jane xx
  • Oh Mel, not really the sort of exploring you really wanted to be doing, specially not on your birthday. Happy birthday!!!! At least you know the hospital is good. Here's to nicer exploring in the very near future, throw in some cake and celebrations and that's even better!! Hip Hip Hooray!! Xx Cath
  • Not fun!!! I had mastitis and an infected seroma 9 days into radiotherapy last year, but nothing as impressive as yours sounds.  Glad you're on the mend. Take care, Lyn