What Is Hematoma? Symptoms And Treatment Of Hematoma After Surgery

Hematoma is a common complication observed after a major surgical intervention. Hematoma is attributed to collection of blood at the site of the operation, which is associated with rupture or damage of the blood vessel at the site. While the severity of hematoma may differ and it is usually is self-limiting and resolves without any treatment.

Hematoma is usually the most common complication associated with major surgical interventions. The condition is associated with damage or injury to the blood vessels around the site of surgery or may also be linked to poor post-operative patient care. While in most cases hematoma is self-limiting and don’t result in major complications, it is always recommended to treat hematomas promptly.

In most cases, hematoma is linked with surgical inefficiency. However there are certain medications like blood thinners which can increase the risk of hematoma. Blood thinners like aspirin; prevent the blood from getting clotted, which in turn make the surgical incision more prone to develop a hematoma.

Other less frequently observed conditions which can trigger formation of hematoma include hypertension, excessive exercising or straining, excessive consumption of alcohol (which delays the natural healing process) and stress.

Symptoms Of Hematoma After Surgery

Some common symptoms associated with hematoma after a surgery include the following,

  • The condition is characterized by fullness and pain at the affected location.
  • The underlying skin often has a bluish or purple discoloration.
  • Occasionally bleeding may be observed at the site of the surgery. This bleeding is usually minimal.
  • In case of larger hematomas, other symptoms like compression of the surrounding tissue may result in other symptoms like wound separation and necrosis i.e. localized death of the surrounding tissue.
  • Further, hematoma may also get complicated with secondary infections, which in turn may be associated with pus like discharge, redness, burning and itching at the site of surgery.

Post Surgical Hematoma Treatment

In most cases, hematoma resolve spontaneously within a couple of days, however in cases of larger and complicated hematoma, treatment may be required.

  • For large sized hematoma, incision and drainage may be conducted. The wound may be re-opened and the accumulated blood be clamp down and removed.
  • For medium sized hematomas analgesics and anti-inflammatory drugs may be recommended. However pain killers like ibuprofen and acetaminophen need to be avoided, as they have additional blood thinning properties.
  • Applying ice packs alternating with warm towel is considered to reduce the internal bleeding and help in re-absorption of the blood. Taking rest is very important to hasten the process of natural healing.
  • Homeopathic drugs like Bryonia Alba, Silica and Sepia taken multiple times during the day helps in reducing the symptoms of pain and itching and also promotes healing.

Local application of turmeric powder is considered to protect the hematoma from a secondary infection. Avoid massaging or pressing on the hematoma, as this may aggravate the condition. Your posture also plays a crucial role in hastening the healing process. Gravity helps in draining the accumulated blood through the lymphatic systems and hastens the healing process.

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