Wound Seroma

CLINICAL FEATURES Wound seromas are relatively uncommon in gynecologic incisions, with the exception of groin dissection. A wound seroma is a collection of serous fluid and may drain spontaneously. In general, it is the presence of drainage, not fever or pain, that prompts patients to seek emergency care.

DISPOSITION If the wound remains intact after gentle probing, the seroma can be watched and usually disappears. If the seroma has reached a large size, drainage can be performed by aspiration and light pressure over the lymphocyst. Wound infection precautions should be given.

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