Hematology after breast surgery

Medium urgency
-Moderately severe

It is the accumulation of blood that can occur under the skin in the area of a recent breast surgery.

Breast tissue is highly vascularized. During breast surgery (mastectomy, lumpectomy, etc.) careful coagulation of all vessels is performed to prevent further bleeding. In spite of these measures, in the first hours after surgery, bleeding may occur from a vessel that may cause a hematoma.

It usually manifests itself with pain in the scar area, inflammation and color changes in the skin near the scar. Rarely, it may become infected, accompanied by fever.
Diagnosis is made by clinical history and examination of the affected area.

Treatment is based on local dressings, observation and pain control with standard analgesics. Generally, the blood is spontaneously reabsorbed within a few days. In cases where the hematoma is very extensive, when the pain is not controlled or active bleeding is suspected, it may require a new surgical intervention to evacuate the hematoma and coagulate the bleeding point.

Bibliographic references
  1. Aitken DR, Minton JP. Complications associated with mastectomy. Surg Clin North Am. 1983 Dec;63(6):1331-52.
  2. Vitug AF, Newman LA. Complications in breast surgery. Surg Clin North Am. 2007 Apr;87(2):431-51, x.
  3. García, A. S. (2001). Complicaciones de la cirugía de la mama. Cirugía Española, 69(3), 224-230.
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Symptoms

    Breast hematoma


    Breast pain - mastalgia


    Bloody fluid coming out of the surgical wound


    Breast painful and hot to the touch


    Bruise in painful area

Pre-hospital care recommendations

Take over-the-counter pain relievers or anti-inflammatories.