The patient returned to the United States 4 weeks after the surgical procedure.Īpproximately 6 weeks after the procedure, the woman developed painful nodules around the surgical site that progressed to skin maceration and purulent drainage. The seroma had been treated with bedside syringe aspiration. The medical report did not report the dimensions of the dehisced surgical wound. The patient eventually developed dehiscence of the entire surgical wound, which according to the medical summary from her surgeon in the Dominican Republic, was secondary to a seroma that had formed after removal of the JP drains. The drains had become clogged and were removed on postoperative day 12, although the wound was still putting out a significant amount of serosanguinous drainage. The abdominoplasty procedure had gone well, with 2 Jackson-Pratt (JP) drains left in situ. A 45-year-old woman with severe obesity presented for evaluation after having undergone abdominoplasty in the Dominican Republic approximately 8 weeks prior.
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