Steps for subcutaneous hematoma evacuation procedure
Jun 14, 2023
Source: Cainiu Health
Dr. Li Feng
Introduction
In general, subcutaneous hematomas are mostly managed conservatively and usually resolve within one month. If the hematoma fails to resolve over time, it may become increasingly firm and can be treated with hematoma evacuation surgery. Subcutaneous hematoma evacuation is performed under intravenous anesthesia. The procedure involves disinfecting and draping the hematoma area, followed by sequential incision of the skin, subcutaneous tissue, and fascia, retraction of the muscles, and removal of the hematoma.
In general, subcutaneous hematomas are mostly managed conservatively and typically resolve within one month. If the hematoma fails to be absorbed over time, it may gradually become harder and can be treated with hematoma evacuation surgery. The specific procedure is as follows:
1. Administer general anesthesia to the patient.
2. Position the patient in the prone position, disinfect the hematoma area, and drape with sterile towels.
3. Incise the skin, subcutaneous tissue, and fascia sequentially at the site of the hematoma, then retract the muscles to fully expose the hematoma.
4. Thoroughly remove the hematoma or organized tissue, then irrigate and soak the area with normal saline.
5. Count surgical instruments, then suture and dress the incision. The procedure is now complete.
After surgery, patients should maintain a light diet and consume foods rich in vitamins. Subcutaneous hematoma evacuation should be performed at a正规 medical facility by qualified medical professionals.
