Breast surgeries come with a list of complications that can develop. One of the complications that may arise is the formation of a hematoma. A hematoma is a pool of blood that may cause swelling, tenderness or bruising on the skin. The hematoma can also be infected, and if this happens, the patient will have fever, enlarged lymph nodes, and inflammation.
The hematoma after a breast surgery is due to the trauma that the breast experiences during the surgery. Due to the incisions made, blood vessels may be injured and this can cause a leak that forms a hematoma. The formation of a hematoma is also more common to those who are using blood thinners for a long time.
If you suspect a hematoma, you should immediately go back to your surgeon to have it checked. A mammogram and an ultrasound can both determine the presence and size of the hematoma. If the hematoma is small in size, most patients will just let it go away on its own. Most small hematomas can cause swelling, but the swelling vanishes when the hematoma disappears. The hematoma will be gradually reabsorbed by the body until none is left. The amount of time needed for the complete reabsorption of the hematoma varies according to its size and the body itself.
On the other hand, if the hematoma is quite large, then it needs to be removed to prevent any further complications. A larger hematoma can also lead to the asymmetry of the breasts. Some may also notice a large bruising and may feel lightheadedness and. There is no treatment available for a hematoma but it can be removed when it is large enough to cause further damage or complication. Multiple and regular aspiration, drain placement or surgery can all be used to remove the large hematoma.
Hematoma may not be removed in a single drainage session because there are lots of blood clots that can block the needle as the hematoma is aspirated. After a week or two, it would be much easier to drain the fluid again. This is why it can take multiple sessions to remove the hematoma completely from the body.
If the large hematoma is not removed, healing of the wound may take longer. This is because the hematoma can cause the skin to stretch and the wound not to close properly, resulting in a wider scar. The hematoma also hinders the healing process because it blocks the tissues from touching and healing together inside the breast. Furthermore, the presence of a hematoma can also cause pain because of the pressure it gives to the surrounding tissues. Draining it would help alleviate the pain and provide more comfort for the patient as they heal. The risk of developing an infection would also be higher when there is hematoma. Some also relate the possible occurrence of capsular contracture due to hematoma. Therefore, these can cause an unsightly appearance of the breast. It is important to consult your surgeon to discuss the best course of treatment.
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