Blood accumulation below the skin around a recently done C-section procedure wound.
During the surgery, careful clotting of all the blood vessels is done to avoid posterior bleeding. Despite these measures, in the first post-surgical hours the bleeding of some vessels can be produced causing a hematoma.
Usually, it manifests with pain around the surgical wound, inflammation and changes in the skin's coloration close to the suture. Less frequently, it can infect with fever episodes.
Its diagnosis is done through the clinical history and the affected zone's exploration.
The treatment is based on local cures, monitoring, and pain control with common analgesics. Generally, the blood is reabsorbed spontaneously in a few days. In cases where the hematoma is very large, when the pain is incontrollable or when continuous bleeding is suspected, it can be necessary to undergo another surgical intervention to evacuate the hematoma and clot the bleeding.
- Hadar, E., Melamed, N., Tzadikevitch-Geffen, K., & Yogev, Y. (2011). Timing and risk factors of maternal complications of cesarean section. Archives of gynecology and obstetrics, 283(4), 735-741.
- Urgellés Carreras, S. A., Álvarez Fiallo, M., Reyes Guerrero, E., & Acosta León, O. (2020). Complicaciones en la cirugía ginecológica. Revista Cubana de Medicina Militar, 49(4).
