What causes continuous bleeding from the wound after hip replacement surgery?

Apr 26, 2023 Source: Cainiu Health

Dr. Lin Yunfei

Introduction

Persistent bleeding from the wound after hip replacement surgery may result from significant skin trauma during the procedure. If continuous bleeding occurs 1 to 3 days postoperatively, it is usually considered normal. This may be due to varying degrees of physical activity after surgery, or consumption of excessively spicy foods that irritate the wound. Inadequate wound care after surgery can also lead to irritation of blood vessels by inflammatory factors.

Persistent bleeding from the wound after hip replacement surgery may be caused by skin incisions, improper care, infection, or other reasons. The specific analysis is as follows:

1. Skin Incision

Hip replacement surgery primarily involves removing damaged bone and replacing it with an artificial prosthesis to restore normal joint function. The procedure creates a significant skin incision. If continuous bleeding occurs within 1–3 days after surgery, this is usually considered normal. Monitor the amount of bleeding—minimal bleeding typically requires no intervention, while heavier bleeding may require pressure dressing to stop the bleeding.

2. Improper Care

The wound requires time to heal after surgery. Engaging in various physical activities too soon or consuming excessively spicy foods post-surgery may irritate the wound, impair healing, and lead to oozing from blood vessels.

3. Infection

Inadequate sterilization of surgical instruments during the procedure or poor wound care afterward may result in infection. Inflammatory factors can irritate blood vessels, causing persistent bleeding.

Besides the common causes mentioned above, improper suturing may also contribute. If symptoms persist for an extended period, prompt medical attention is recommended.

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