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When should they remove drains after MX and ANC?

11 REPLIES 11
Jenifer
Member

Re: When should they remove drains after MX and ANC?

That's good - nice to see a happy ending! : )

SJB
Member

Re: When should they remove drains after MX and ANC?

The nurse came at about midday and took the drain out. She removed my dressing and just put a padded gauze where the drain tube had been in case there's any leakage. There was none when it was removed. They are coming back tomorrow and if the pad is dry, they'll remove it and discharge me from their care.

 

It's all going really well. My softie arrived in today's post, so once that pad is off, I'm going to try a soft bra on and see how my softie looks. Then I'll go out for a walk! Can't wait. 

RacingJules
Member

Re: When should they remove drains after MX and ANC?

Hi SJB

 

I hope all goes well with the drain removal today. 

 

Mine were taken out the day after surgery. I have had seroma and have had it drained twice since - back in again this afternoon for drainage no 3. My surgeon says it will stop, but may take a few days. It's not too unpleasant but did prevent me from doing my arm exercises as much as I would have liked last weekend. 

 

I hope you are feeling relieved its all over - thinking of you. 

 

Jules xx

SJB
Member

Re: When should they remove drains after MX and ANC?

It's obviously handled differently in different regions. I have spoken to people who kept a drain in for 2 or 3 weeks, until it finally went below 50ml a day. But they don't live anywhere near me.

 

In the end, I drained 350ml yesterday. My bottle is almost full again (it measures up to 400ml which is supposed to last a few days!)

 

It'll have to come out today whether I like it or not because it is full, and the only way to get a replacement bottle to change it would be to get to the hospital which I can't do. 

 

I'm not worried about the actual removal. My other drain was removed on Monday. I was told to take a deep breath and exhale slowly. The district nurse gently pulled the tube out while I exhaled, and it didn't hurt at all. I just had a nerve pang in my arm which took a few minutes to ease off. Nothing major.

 

Am I right in thinking that there is a greater risk of seroma building up if you are inactive?

 

I've been doing the arm exercises I was given, and have a lot more movement than I had expected already. I am actively using and moving my arm all the time (carefully of course) so hopefully the movement will prevent anything unpleasant happening.

 

Thanks for the answers. It helps to hear other people's opinions.

Zuleika
Member

Re: When should they remove drains after MX and ANC?

SJB, try not to worry. I had 2 drains in after mx and I spent a lot of time worrying about one or both of them. My second drain was still draining over 100mls when I got to day 5 and the bcn said it needed to come out. I was worried about seroma, but I had nothing at all. Remember that even if it's still draining and the drain is removed, the residual fluid will absorb into your body. It was such a relief to have the drain out. I would go with the advice you've been given, you'll feel a lot better and it's not good to stay in too long. Best of luck, you'll start to feel better with that drain out xx
jillybee
Member

Re: When should they remove drains after MX and ANC?

I agree,there is a risk go infection if left in.
kitten_mad
Member

Re: When should they remove drains after MX and ANC?

also it may have to come out within a certain time-frame as I would imagine there would be a risk of infection otherwise.
kitten_mad
Member

Re: When should they remove drains after MX and ANC?

I really don't agree with people getting home with drains still in place, and you seem to be still draining quite a bit - I was in hospital for 5 nights after my Mx and LD flap - I am pretty sure the drains came out after 3 or 4 days. After my ANC and WLE it came out after 2 days. With the ANC/WLE I had a seroma which was drained twice the week after I got home. I didn't get a seroma after the 2nd op. It is a weird feeling getting it out - as you do feel it, you have to take a deep breath! I suppose you have to trust that they know what they are doing, but I can understand that you will be worrying about it. Hope you don't develop any swelling and that everything goes well.

Take care of yourself and let us know how you get on.

K M x

jillybee
Member

Re: When should they remove drains after MX and ANC?

I really can't answer that.Maybe ask them what would happen if left in?they are the experts though,and do it every day.The worse thing that you would get seroma,which can be aspirated ......at the clinic.I was adviced not to go to A&E!!
SJB
Member

Re: When should they remove drains after MX and ANC?

So even if I'm draining 300ml a day, it's ok to remove the drain? I find that a bit scary.

jillybee
Member

Re: When should they remove drains after MX and ANC?

Usually they are in for a week.General rule us that they should drain 40mls or less in 24hours.Seroma won't do you any harm,as may well re absorb into the tissues.If uncomfortable,they can always aspirate ......take care
SJB
Member

When should they remove drains after MX and ANC?

Is there a standard procedure regarding when to remove drains?

 

I had a full mastectomy and lymph node clearance last Friday (9th), and came home with 2 drains attached on Saturday.

 

As one drain was virtually empty on Monday, that one was removed. But there was a written instruction from the surgeon to remove the drains by today at the latest. However, my drain bottle has been filling up with at least 200ml every day so far (250ml so far today and not yet 24 hours since it was changed), so I am concerned about having the drain removed. I managed to kick up a fuss yesterday and got a 24 hour extension, but I have been told it is definitely coming out tomorrow.

 

I am worried that with that amount of fluid building up inside me, I am at risk of seroma. I don't know much about it, but I would rather have a drain attached until the weekend or something than worry about that!

 

Have other people encountered this problem? Should I be as concerned as I am? My district nurses agree with me, but they have to obey the instructions issued from the hospital.