Seroma – Cause, Mechanism, Management and Prevention

  • Seroma is a collection of clear fluid in the wound that occurs after surgery or injury
  • They are different from hematomas (blood collection) and abscesses (pus collection)
  • Cause – Surgeries which involve damage to the cutaneous lymphatics especially breast and groin surgeries
  • Mechanism – Fluid that leaks from the lymphatics get accumulated under the skin
  • Clinical significance – Delays wound healing, increases risk of infection
  • Prevention – Placement of closed suction drain
  • Management – Aspiration, compression bandages