| Complications - Large
Hematoma |
|
Hematoma is defined as a localized mass
of accumulated blood under the silicone that may lead
to non-take and/or infection. The formation of small hematomas
is one of the more common complications encountered.
If the hematoma is small (less than
the size of a dime), visually inspect for signs of growth.
If the hematoma is large, growing in size, or draining,
intervention is required.
Intervention:
- If hematoma is still in fluid state:
evacuate hematoma by inserting an 18-20 gauge hollow
point needle with syringe under surface of INTEGRA Template
and aspirate fluid
- If hematoma is no longer in fluid
state: incise INTEGRA Template with a #15 blade, then
evacuate clot using a gentle rolling motion with a sponge
or tongue blade
- For a large, persistent hematoma:
control drainage/bleeding and achieve hemostasis by
irrigating with epinepherine, electrocautery or suturing
and reattaching INTEGRA Template
