Blood accumulation below the skin that surrounds a recently done C-section wound.
During the surgery a careful clotting of all the blood vessels is done to avoid its posterior bleeding. Despite these mesures, in the first post-surgical hours the some vessels can bleed causing a haematoma.
Usually it manifests with pain around the surgical wound, inflammation and changes in the skin's colouration 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 examination.
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 haematoma 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 haematoma and clot the bleed.
- 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).
