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In the medical world, especially when it comes to surgical procedures, seromas are a common topic of discussion. Based on my experience, it’s generally advisable to drain a seroma. However, it’s essential to understand that not all seromas are the same.

Broadly, seromas can be categorized into two types: clinically obvious seromas and sub-clinical seromas.

1. Clinically Obvious Seromas: These are the seromas that are readily apparent. Both the surgeon and the patient can visually identify them. Their presence is indicated by a clear fluid wave or a noticeable bulge. Such seromas definitely require draining.

2. Sub-clinical Seromas: These are more subtle. They aren’t detectable through a routine physical examination. For instance, a patient undergoing a CT scan for an entirely different reason might be informed by the radiologist about a small seroma resulting from a past surgical procedure. Such incidental findings are surprisingly common. Since these seromas are tiny and not visibly noticeable, they don’t affect the surgical outcome and are generally harmless. Draining such seromas might be more detrimental than beneficial, so it’s often best to leave them be.

In summary, while draining a seroma is generally a good practice, it’s crucial to differentiate between the types of seromas and treat them accordingly. Always consult with your healthcare professional about any concerns.

Dr. William Miami

Author Dr. William Miami

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