Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Open wound from DRAINING HEMATOMA after breast surgery. Treament?

Resolved Question:

I have an open drain wound from a draining hematoma after breast surgery. It has been draining for 6 months now.  It has been under a bandage all this time.   I am afraid the drain hole is becoming necrotic at the bottom. Or COULD become necrotic because it is getting no blood. I've attached a picture which shows that it is grayish at the bottom. In real life it is worse than this--the skin looks whitish-gray and looks sort of dead. No circulation. Do you think this will BECOME necrotic (I know it is not necrotic yet).  By the way, the red in the photo looks much LESS red in real life.

Also, if this did turn into necrosis--it is only 2 mm by 4mm in size.  Would that have to be treated right away, or would it be safe to wait a month or two?

Category: General Surgeon

Ask Your Own Question

Category: Pediatric Surgeon
 30 Doctors Online

Hi Thank you for posting your query.
I saw the picture.
It is not necrotic at the bottom.
Routinely, the drain hole closes spontaneously once the discharge is stopped.
It will not become necrotic too.
Apart from blood,lymphatic fluid will also be discharging after breast surgery. It will take some time to regress.
If only blood is draining, you should take Tranexamic acid tablet twice daily.It has helped in some of my patients .
Hope I answered your query. If you have any questions, I will clarify further.
Wish you good health.


Patient replied :

Thank you. I am just wondering if with that gray dead looking area at the bottom, it could become necrotic in the future, even though it is not necrotic now? Did you see the gray area? It is really gray and white and looks sort of dead.
ALSO, is it unusual for a hematoma to drain for 6 months? Because after radiation, I got at least one hematoma and I have had bloody drainage for 6 months.

Hi I saw the grey area.Chances of getting necrotic is less.Even though it becomes necrotic, you can get the necrotic area excised.It will heal.
Yes,it is unusual to get discharge for 6 months.
You should take second opinion from another Surgeon, get examined clinically and proceed accordingly.
Wish you good health.


Patient replied :

If a small area (4mm by 2mm) becomes necrotic, is it all right to wait 2 months before getting it excised? We are supposed to go to Africa at the end of July, and I am worried that it might become necrotic and ruin our trip. Thank you.

Hi Eventhough some area becomes necrotic, you can wait for 2 months.
Nothing to worry.
It doesn't cause any problems.
If the discharge stops,the wound gets closed spontaneously in course of time with a scab formation.Once the scab has fallen,the wound will be clean and healthy.Necrotic area may fall with the scab.
Wish you good health.
Enjoy your trip.


Dr. Hari Charan Perigela
Category: Pediatric Surgeon
Fellowship: DNB, General Surgery, National Board of Examinations, New Delhi, 2001
Residency: MS, General Surgery, Sri Venkateswara Medical College,Tirupathi, 2000
Medical School: MBBS, Kurnool Medical college, 1995
Dr. Hari Charan Perigela and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news