Other Possible Concerns After Surgery

• After your drain is removed, a pouch of body fluid may collect in the surgical area. This is called a "seroma."
• The pouch of fluid is caused by continued drainage into the surgical site.
• A seroma is common and is not an emergency.
• Seromas happen a few weeks after surgery and may take several weeks to disappear.
• If you think you have developed a seroma and it is large and uncomfortable, or you are concerned, call the Melanoma Site Nursing Team at 416-480-5000.

• Lymphedema is swelling caused by lymphatic fluid that collects in your leg.
• Lymphedema is different than a seroma or the swelling that might happen right after surgery.
• Lymphedema can develop weeks, months, or years after your surgery.
• Lymphedema can be managed but should be reported to the Melanoma Site Nursing Team

• Feelings of heaviness, aching or tingling
• Feelings of tightness in clothing, jewelry, watches
• A feeling of heat
• Swelling

It is not known why some people with the same risk factors develop lymphedema while others do not. To help lower the risks of developing lymphedema:

• Maintain a healthy body weight. Obesity is a major risk factor.
• Exercise regularly and follow the instructions from the physical and occupational therapists.
• Avoid infections in the leg where the surgery occurred. Apply antibiotic cream to cuts, scratches and insect bites.
• Keep your feet clean.
• Once the incision is healed, use a moisturizer regularly on your leg and foot.
• Report any prolonged swelling, or changes in sensation, colour, temperature or skin condition to the Melanoma Nursing Team or your physician.

• You can be at higher risks of infection in the leg that had the groin dissection.
• If you notice redness and pain around a cut, you should contact a doctor to see if you need antibiotic pills.
• Immunizations (vaccinations) are safe after your surgery.