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What causes swelling post hernia operation?

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Posted on Wed, 16 Jul 2014
Question: I am having some swelling after groin hernia mesh operation
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Answered by Dr. T Shobha Deepak (1 hour later)
Brief Answer:
Could be possibly due to seroma

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms,

In view of previous history of drainage of fluid in post operative period and reappearance of swelling, possibility of Seroma needs to be considered. Seroma is localized collection of serum which occurs in reaction to mesh which is foreign body.
Clinical examination and assessment by Ultraosund will be able to decide the cause. Drainage and light packing of wound with gauge piece will help.

Do get back to me if you need any further assistance, will be glad to assist you.

Take Care

Best Regards
Dr T Shobha Deepak
MBBS,MD
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. T Shobha Deepak (18 hours later)
Thank you Doctor for reply. My follow up concerns repeated swelling. Ann’s wound healed perfectly but then she experienced swelling along the wound that was subsequently drained and was flat again. However some swelling XXXXXXX again but only partly the length of wound. It is not painful except to touch and not very coloured/ bruised looking. As you say an ultrasound will show more. Meanwhile we are worried/confused as she travels on 1 st Aug to XXXXXXX Can it be drained successfully second time? Will she need further op? Will it re occur? Any comments/ advice greatly appreciated. XXXXX
doctor
Answered by Dr. T Shobha Deepak (13 hours later)
Brief Answer:
It can be redrained

Detailed Answer:
Hi
Greetings

It can be redrained successfully even 2 nd time.
Opening the wound where the collection is , draining the fluid and keeping the tip of gauge piece inside with the rest of gauge piece outside is ideal treatment. The cotton gauge piece will act as wick and will drain any subsequent fluid by its capillary action preventing recurrence. You can discuss it with your treating physician. After adequate drainage and technique for prevention of recurrence she can definitely travel. No issues

Take care

Best regards
Dr T Shobha
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Shobha Deepak

General & Family Physician

Practicing since :2005

Answered : 1774 Questions

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What causes swelling post hernia operation?

Brief Answer: Could be possibly due to seroma Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms, In view of previous history of drainage of fluid in post operative period and reappearance of swelling, possibility of Seroma needs to be considered. Seroma is localized collection of serum which occurs in reaction to mesh which is foreign body. Clinical examination and assessment by Ultraosund will be able to decide the cause. Drainage and light packing of wound with gauge piece will help. Do get back to me if you need any further assistance, will be glad to assist you. Take Care Best Regards Dr T Shobha Deepak MBBS,MD