How to eliminate fluid accumulation after breast surgery

Breast surgery is a very common surgery in daily life. It plays a key role in the patient's health recovery, so the care of this surgery is particularly important. The elimination of fluid accumulation after breast surgery is a problem that worries many people. At this time, they need to seek medical treatment in time and use the most appropriate method for treatment based on their physical condition. At the same time, they need to pay attention to breast hygiene to recover their health as soon as possible.

1. The factors that cause subcutaneous effusion in the wound after breast cancer surgery are mainly the following four aspects

1. Inadequate preoperative health education.

Due to improper postoperative care or poor patient compliance, health education is not in place, resulting in patients lacking relevant postoperative knowledge and prematurely moving the affected shoulder joint. It is common for patients to use the affected upper limb to support themselves out of bed, or support the affected side when support is needed, causing the wound flap to slide and affecting healing, thereby forming a dead cavity, producing lymph fluid, and leading to subcutaneous effusion.

2. Subcutaneous blood drainage is not smooth.

Due to the pressure, twisting, blockage of the drainage tube or insufficient negative pressure in the drainage bottle, drainage is not smooth, and exudate and bleeding form fluid and blood accumulation in the wound.

3. The tightness of the chest strap pressure bandage is not appropriate.

Moderate pressure bandage has a certain auxiliary effect on flap healing. It can force the elimination of dead space and keep the flap and the thorax in a relatively fixed state, effectively reduce wound exudation and microvascular bleeding, prevent the occurrence of exudate and hematoma, and at the same time reduce tissue edema, which is beneficial to venous return and flap survival.

4. Improper activity of the affected limb.

Appropriate functional rehabilitation exercises can promote blood circulation in the affected limbs, promote the excretion of metabolic products and oxygen supply, facilitate venous return and drainage of the upper limbs, promote the disappearance of postoperative upper limb edema, and reduce the incidence of subcutaneous effusion, hematoma, flap necrosis and scar contracture.

2. How to eliminate fluid accumulation after breast surgery

Subcutaneous effusion is composed of lymph fluid, wound exudate and blood. Through our timely and correct nursing intervention, patients and their families understand the postoperative precautions, the importance of keeping the drainage tube open, the role of chest strap pressure bandage and the significance of timely and appropriate affected limb activities, so as to standardize the patient's postoperative self-protection behavior, prevent re-injury to the initially healed wound surface after surgery, reduce the chance of subcutaneous dead space formation, and reduce subcutaneous fluid accumulation.

Because 6 to 8 days after surgery is the time for initial shoulder joint activity, and 12 to 14 days after surgery is the time for starting shoulder joint functional training, after we implemented correct nursing intervention in the observation group, the patients learned to protect themselves, while the patients in the control group did not move their affected limbs properly, which aggravated the production of subcutaneous effusion and prolonged the retention time of the drainage tube.

The chest belt pressure bandage should be applied within 5 days after surgery. It can be seen from the experimental group that moderate pressure bandage has a certain auxiliary effect on flap healing. It can reduce the local infiltration of blood, lymph and exudate in the early postoperative period, thereby shortening the retention time of the drainage tube. After 14 days after surgery, the patient's wound has healed, or the cause of subcutaneous effusion is related to individual differences among patients. At this time, the effect of nursing intervention is no longer as obvious as before 14 days after surgery.