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Hematoma query
Hi Doctors,
I fell down from the stairs and it resulted in swelling in the left hip. Got hematoma drainage from the radiologist and took the medicines. It was all ok after that but on the 5th day, I again started feeling the swelling and it is. The doctor says i need to get it aspirated again. My question is if I get it done again will it be completely drained? Got it checked from the surgeon and the doctor mentioned to take antibiotics and anti inflammatory medicine.
Here to take advice if getting the cut would be the option? Or medicines can help?
Hello, generally all hematomas if painless and not discomforting to patient then should be left as it is...it will resolve over the period of time, then treatment of such collections is 3 attempts of aspiration atleast.
Later on treatment part changes if it is collecting repeatedly
Next Steps
Do consult online for more information..I am happy to help you..👍
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Hematoma once drained by incision and drainage that wound left open and packed by guaze pieces so that newly collected collection would come out.....
If you get collection 2 nd time your surgeon can aspirate it via wide bore needle and can apply some compressive dressing along with antibiotics....
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After medications review USG pelvis,if collection of fluid or blood,if collection is decreasing then continue meditation till minimum collection.
If collection reappear or not decreasing then exploration is required .
Next Steps
review USG GLUTEAL region
Health Tips
visit surgeon
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Size of the swelling??
Chances of recurrence of hematoma is quite common even after aspiration
Better to get ultrasound of the swelling or gluteal region to quantify the hematoma
If the hematoma is small medicatns are enough
Large hematoma neede to be drained as it may get infected
Next Steps
Get ultrasound swelling done
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