Good afternoon everyone, I am Joheina Cyndril L.

Zacarias and for today I will be presenting to you 3

post mastectomy complications

1. Seroma.
 A seroma, one of the most common potential complications after surgery. so according
pa sa ubang surgeons nga kaning seroma mura syag necessary evil that follows
mastectomy
 A seroma is a build up of fluids under the skin where tissue has been removed. Seromas
often occur as a complication of surgery but can also develop after an injury.
 Seromas are usually found near the site of a surgical incision and can form soon after
surgery or, sometimes, weeks later.
How does it happen?
• The exact causes of seromas are not clear, but they are common in the breast area of people who
have undergone surgery to treat breast cancer.
• Seromas tend to appear 7–10 days after surgery, after drainage tubes have been removed. Areas
involved in the surgery may develop spots that are swollen and feel like liquid under the skin.
• Surgery causes damage to the blood and lymph vessels and surrounding tissue. An inflammatory
response occurs, and the severed vessels and tissues will produce clear fluid in response.
This is why there is pain and swelling after surgery. In some cases, the fluid forms a pocket,
which leads to the formation of a seroma.

 Seromas form lumps under the skin. These are filled with a yellowish to white fluid
called serous fluid. This is the same fluid commonly seen in blisters and fresh cuts.
Nursing Intervention

 Most seromas heal naturally. They are usually reabsorbed into the body within 1 month, although
this can take up to 1 year.
 In more severe cases, it can take up to 1 year for them to be reabsorbed, or they can form a
capsule and remain until they are removed surgically. The area may experience hardening once
the seroma heals.
 Heat can be applied to the area to help it heal more quickly. A heating pad or hot compress can be
applied for about 15 minutes every few hours. This helps with fluid drainage while providing
additional comfort to the incision area.
As a nurse we should make sure that the heat is not too hot and that the compress is not left on the
area for a long time. Too much heat can lead to additional fluid buildup in the seroma. Instead nga
maka help suya to heal the seroma more quickly mas gipa lala pa hinuon.

 Keeping the area elevated may also help increase drainage, depending on the area affected.
 A process called fine-needle aspiration is sometimes used to drain the area. It is also a good way
to monitor the volume of fluid leakage.
Wound Dehiscence
Post Mastectomy Pain Syndrome
These holistic pain-management strategies have been shown to improve patient outcomes, making the
health professional, and especially nurse, instrumental in preventing the persistence of acute pain.