Fluid buildup after TRAM flap surgery

[mudbirdy]

I had tram flap reconstruction in 2002, both breast, and it went well.  I had no discoloration or swelling, but did have a lot of drainage.  I followed  Doctors' orders, took it easy and wore the constrictive wrap after surgery.  Since then, I have had recurring fluid buildup in the surgery track from immediately beneath the breast all the way down to the abdomen.  I do a lot of outdoor yard work, gardening, home canning and have hobbies that require lifting.   Anything I do that is physical  is followed by fluid buildup and pain (and a few days out of commission).  Is there anything that can be done about this?  In the last few days I have been in so much pain from the fluid buildup that I am nauseated and have trouble taking a deep breath.  I moved just a few months after the surgery and have just a primary care GP.  Should I be evaluated by plastic surgery?  Is this fluid build up a normal thing to happen?  It has become extremely debilitating, as with pain comes fatigue. Thanks for your time.

[Archibald S Miller III, MD,FACS]

The seroma you describe is a common complication. It can be treated. You will need to contact a local plastic surgeon and he should be able to help you.

                                arch s miller ms md facs