Should a drain have been placed preventing a second surgery?

Q:

A few hours after a capsulectomy my breast started swelling. The doctor decided to drain the area. He ended up having to perform a new surgery by removing the new implant and cauterizing the area and sending me home with a drain. My question is had he placed a drain when performing the first surgery would have prevented the second surgery from happening? Or it is more likely that he had missed some areas when cauterizing the area where he cut the scar tissue leading to the internal bleeding? Thanks

A:

It is fairly common to use a drain after a complete capsulectomy. It is a decision made by the doctor based on how dry the field is.

A drain does not always prevent a hematoma and the need for further surgery

A:

Carmen,

I'm sorry to hear of your experience.

The decision to place a drain following an open capsulectomy is a decision made by your plastic surgeon at the time of surgery based on how much bleeding is evident.

Many surgeons typically place a drain routinely after this procedure.  However if there was no bleeding at the time of your surgery your surgeon's decision not to use a drain may have been perfectly appropriate.

As the old staying goes "hindsight is 20/20."

Be sure to discuss your concerns with your plastic surgeon.

I sincerely hope you will have an uneventful recovery and be able to complete your breast augmentation at a later date.

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