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Old 11-07-2009, 02:01 PM   #1
 
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getting through a hematoma

So I had my long awaited surgery on monday ( 5 days ago)..It went very well. I came out of the anesthetic feeling alert and clear. I headed home at 11:00, and prepared to recover. I layed around for most of the day while my dh cared for the children, and helped me with what I needed. ( Quite an interesting role reversal I must say --I kinda like it )

I had the surgery at 8:00 am that morning..I was home by 1:30pm. We live approx 1.5 hours away from the clinic.

At around 5 pm I started noticing that my left breast was swelling at a more rapid pace then the right. At first it was just a little..so I kept a watch on it.. Before surgery I had it mentioned to me on more than one occasion by the nursing staff etc to be watchful for certain signs... She even underlined it on my post op care sheet..

Sooo as I monitored my left breast it continued to puff out and become soar..Within 2 hours it was noticeably larger than the other, and far more soar. They had said that if I noticed one breast 25-30% larger than the other to call them.. but who can tell for sure?! SO of course I measured them.
The left one was 2.5 inches puffier under the breast bone the the other.

I called the 24 hour nurse.

She called my surgeon

My surgeon called me

<time lapse 4 minutes total>

I noticed when I leaned forward that my left breast was puffing over towards the right at the cleavage line, and on the bottom it looked like a rectangular shunt had been pushed under my skin.. and then I noticed the bruising....
I had no bruising before.. I told this all to my surgeon as we spoke on the phone,,,

He said calmly and firmly..

" You need to come in right away"
It was 7:00pm.

So I had to shuttle myself back into the truck gather all my crap, and make the 1.5 hour journey back to kelowna... (Well I should say my dh did all the gathering and shuttling).. But what a disappointment- here I thought the traveling and nerves were over..and I have to do the whole thing again! THE SAME FREAKIN DAY!

Off we went...

May I say.. my surgeon and his team are phenomenal. Within the hour I had called they had assembled (after hours)...

three surgical nurses, a triage nurse, the anesthesiologist, and my surgeon.
All standing in a line waiting for me.

My surgeon checked me out- "yes thats real".. off we went again..

I had a hematoma.

By this point my breast was hugely mis-shapen, and I was bruising all under the breast crease..

I got put under again...They went in and cleaned out the pocket,,evacuated the blood collected...took out the implant, cleaned it, repositioned it...
I had a drain tube put in.. which I am still sporting..

So once again I came out clear and level headed.. But man do I get the shakes coming out of being under..yikes!
I went home and rested.. It was past midnight...

I am on day five.. and I am feeling awesome..comparatively
A nurse phones me everyday, to check my drainage count.

I have to be under 30CC of blood for this bag to come out.

It looks like I will go back on monday and have it removed.

While this whole complication was a pain, it could not have been dealt with more swiftly or perfectly. I feel very grateful that I was so well taken care of.

Oh, and my boobs ARE AWESOME!!!!

Thanks for listening
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Old 11-07-2009, 02:43 PM   #2
 
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wow what an ordeal! im glad everthing turned out fine and the medical team did an excellent job. I think had a slight case of hematoma but it went away on its own i guess. it was a painful, large and hard dark area on my inner left boob (which is still slightly bigger than my right) it looked like a big ole bruise. so glad its gone. yours seemed pretty severe though, it must have been scary. glad you pulled it through and heres to a fabulous booby future!
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Old 11-07-2009, 02:48 PM   #3
Two weeks out and boobs are shrinking!
 
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Thanks for sharing your experience - it lets me know what I should look out for.

You must be so happy with the care you got from your surgeon and his team - I think they deserve an A+!

Get well soon.
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Old 11-07-2009, 02:50 PM   #4
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You are soooo Lucky! I got Hematomy a few weeks after a revision surgery, and when I called the office, one of the doctors that did the surgery on me, yelled at me and told me "I did NOT have Hematomy!" I had tears in my eyes, I felt like I was complaining too much! Anyway, that was on a Friday, and by Monday it had gotten worse, and I was in the Hospital by Wednesday with guess what: you guessed: Hematoma.

But that's not the end of the story. My doctors apparently did the same cleaning out procedure and putting the drain in me as you had gotten. But, I found out later that my doctor wasnt really experienced with this whole thing. From day one, the blood wasnt even coming out of my drain, it was pouring down my chest out of the whole the drain was in! And when I went to the office a few days later, he tried to fix it (the whole time conversing with some technician or I don't know if it was a nurse or not, but he shouldnt have been asking and discussing with HER about this!

Here's the last kicker: and while discussing this with her, while trying to fix the drain, he broke the drain tube, AND THAT WAS IT! So as far as I was concerned the surgery was basically done for nothing because my breast kept filling up again! I would push the blood at of the whole the drain was in to get relief!

It healed hard as a brick, even though he said it would probably go away on it's own. It never did soften-up, even though it stopped hurting for awhile, but I developed CC in it ! That was 5 mths ago. It has now progressed to stage 2/3, and I need a capsulectomy, along with pocket deformity, knuckles from the implant sticking out of my cleavage area, and the Bottoming Out and Double Bubble came back on the other side from a prior revision!

Getting a re-do soon! Hopefully will come out OK!
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Old 11-07-2009, 05:37 PM   #5
 
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You must have been so scared. I am so happy to hear that everything turned out great for you!
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Old 11-07-2009, 06:12 PM   #6
 
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Hey we are twins! I had to go into surgery right after I came out also for hematoma! Wow. I am glad you are now feeling better and got it all fixed. Going under twice for me sucked fpr me because I got bad headaches from all that Anesthesia junk how are you feeling?
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Old 11-07-2009, 07:25 PM   #7
 
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Thanks everyone! It was actually quite nerve racking..

You are right- my surgeon and his team definitely get an A++ for their performance!

I am healing well- Today is day 5. My left breast is still a little more swollen than the right- but not by much at all.. I have bruising etc..
I did put up pics in my album which show the hematoma bruising and the drain tube if your interested- just fr me!
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Old 11-10-2009, 10:52 AM   #8
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wow just read your story hope you are doing great now that the drain is gone On to recovery and dropping and fluffing and no more complications
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Now I need a Capsulorrhaphy of my Left breast
to be done in Jan 2010

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Old 11-13-2009, 07:47 PM   #9
 
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Wow! what a story! I am glad your surgical team swung into action straight away and averted what could have been a disaster. Hope you are healing nicely now
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