12/7/2023 0 Comments Serosanguinous fluid after surgery![]() ![]() The presence of cerebellar hemorrhage and hydrocephalus indicated a trend toward worse outcome. While serosanguinous fluid collections or seromas in the surgical bed after flap reconstruction are commonly encountered on early postoperative imaging. Additionally, continued and worsening neurological symptoms after spinal surgery may warrant cranial imaging to rule out intracranial hemorrhage, usually within the first 24 hours after surgery. These associations do not justify a complete avoidance of drains in patients with CSF leakage but may guide the treating physician to keep in mind drain output and timing of drain removal, while noting any changes in neurological examination status in the meantime. Patients who fail to respond to conservative therapy have significantly worse general health, as indicated by the ASA score. Intracranial hemorrhage is a rare complication of spinal surgery that is associated with CSF leakage and use of drains postoperatively, with moderate serosanguinous output. Conclusion: Most patients who present with isolated serosanguinous incision drainage within six weeks of surgery may be managed successfully using antibiotics only. This type of fluid can also be seen in early stages of healing. The risk factors most correlated with ICH postoperatively were the presence of a CSF leak intraoperatively and the use of drains postoperatively with moderate hourly serosanguineous output in the early postoperative period. Serosanguineous fluid consists of leukocytes and blood resulting in a light pink watery fluid. The authors retrospectively reviewed the cases of 8 patients treated over 16 years at a single institution and also reviewed the existing literature and collected demographic, treatment, and outcome information from 33 unique cases of remote ICH after spinal surgery. Therefore it is usually watery with a slight blood color, but not as dark as blood itself. This accumulated fluid is made of serous fluid or blood without most of the cells. The authors describe the largest case series of 8 patients with intracranial hemorrhage (ICH) after spinal surgery and identify associated pre-, intra-, and postoperative risk factors in relation to outcome. Seromas can occur anytime after surgery, causing puffiness, swelling and the accumulation of fluid around the incision area. ![]()
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