Hi, is there usually an infection or abscess present when a sinus tract forms pease? I have a seroma folowing hernia mesh surgery, it was drained but has come back, although smaller this time. An ultra sound scan picked up a sinus tract forming under a visible and painful hard lump, the scar is starting to open up and looks red & angry. The whole area is painful, could it be just the fluid from the seroma trying to get out, or is it more likely to be an infection of some sort please? Thanks for any help or replies in advance.
This is something your surgeon needs to decide, but it is possible to have a seroma, a fluid collection of just serous fluid, without infection, form a sinus tract in an attempt to escape and drain. Signs of infection are redness, swelling, increasing pain, fever, and pus or foul smelling cloudy fluid drainage. Serous fluid looks clear like honey with a pink tinge. Your surgeon absolutely needs to be aware and following you to control any infection if it develops and promote healing of the wound without it opening up.