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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Laypo Mesh Repaired For Large Umbilical Hernia, Developed A Large Firm Lump, Feel Tight But No Pain. Is It Sernoma?

Laypo mesh repair of a large umbilical hernia (cue ball size). Six week post opt and I have developed a large (1/2 the size of the original hernia), firm lump which I believe might be a sernoma. It is not painful but It feels a tight like it is under pressure. Should I wait to see my surgeon to see if it subsides on it own?
Sat, 16 Mar 2013
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General Surgeon 's  Response
Hi
The lump that you are seeing after surgery could be Seroma.
Because of mesh and dissection done during procedure,some collection might be present beneath the umbilicus.
Go for an ultrasound abdomen to know the nature of the swelling.If it contains clear serous fluid,then nothing to worry.If pus is collected,then it should be drained.
It is better to consult your surgeon if you develop fever and pain locally.
Wish you speedy recovery
Regards
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Laypo Mesh Repaired For Large Umbilical Hernia, Developed A Large Firm Lump, Feel Tight But No Pain. Is It Sernoma?

Hi The lump that you are seeing after surgery could be Seroma. Because of mesh and dissection done during procedure,some collection might be present beneath the umbilicus. Go for an ultrasound abdomen to know the nature of the swelling.If it contains clear serous fluid,then nothing to worry.If pus is collected,then it should be drained. It is better to consult your surgeon if you develop fever and pain locally. Wish you speedy recovery Regards