WOUND DRESSING

Depending on the type of surgery performed, the wound is dressed with  a waterproof dressing. This dressing can be removed after 7 - 10 days. 

After this, you may shower without the waterproof dressing, and the wound should be gently patted dry with a soft towel. Soap and creams should be avoided on the wound for the first 4 weeks.

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DRAIN CARE

If a drain is inserted during surgery, you may be discharged home with the drain in place. A referral will be made to the district nursing service, who will provide wound and drain care in the community. The volume of fluid in the drain bottle over a 24-hour period is measured daily and recorded on a drainage chart. The drain is removed by the district nurse when it drains less than 30 ml per day. Specific drain instructions may be given depending on the type of procedure performed.

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Once the drain is removed, it is not uncommon for the body to continue producing fluid within the operative site. This collection of fluid is called a seroma. It is usually reabsorbed over time, but if a large volume is produced, it may result in visible swelling and become uncomfortable. This usually requires needle aspiration, which may be repeated as necessary, usually once a week or once every 2 weeks, until the collection resolves. This is a fairly common occurrence and is not urgent unless there is an underlying infection of the seroma. Infection is uncommon, but if it occurs, urgent needle aspiration and antibiotics will be required.

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ARM EXERCISE

Once discharged, you are encouraged to gently mobilise and remain active. Gentle arm exercise is important, with the aim of achieving a full range of shoulder movement within 2–4 weeks after surgery.