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      Simple technique for evacuation of traumatic subcutaneous haematomas under tension

      research-article
      1 , , 1 , 1 , 1
      BMC Emergency Medicine
      BioMed Central

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          Abstract

          Background

          Traumatic subcutaneous haematomas are common cases in the accident and emergency department. Occasionally, urgent evacuation is required to prevent skin necrosis.

          Methods

          We present a simple and safe technique, based on a principle similar to liposuction to evacuate traumatic subcutaneous haematomas under tension. Instruments readily available in the accident and emergency department are used without the need of general anaesthesia.

          Results

          The technique was performed in six cases without complication such as infection or re-collection of the haematoma under tension. We present two typical scenarios where urgent evacuation was indicated and the technique performed.

          Conclusion

          The technique is useful as an urgent and safe procedure in the accident and emergency department setting.

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          Most cited references4

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          Simple and safe treatment of pretibial haematoma in elderly patients.

          A simple and safe technique is described for evacuation of pretibial haematoma in elderly patients. A Yankauer sucker attached to the wall suction is used to evacuate the haematoma under local anaesthesia. This technique is used in the accident and emergency department and the ward.
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            Liposuction surgery for the treatment of large hematomas on the leg.

            Post-traumatic hematomas overlying the muscular fascia on the lateral aspect of the leg are common in elderly patients, particularly those receiving oral anticoagulant therapy. When large collections of blood accumulate within this region, the pressure within the hematomas may exceed the blood pressure in the dermal and subdermal vessels. Large areas of necrosis of the overlying skin may then result. To decrease the pressure of evolving and long-standing hematomas, thereby reducing inflammation and pain. Liposuction surgery was employed as a means of decompressing both evolving and long-standing hematomas. Liposuction surgery has been found to be useful in the treatment of hematomas on the leg, and has the added benefit of producing cosmetically elegant results. An elastic compression bandage placed postoperatively reduces the risk of relapse. Liposuction surgery may be used to remove large leg hematomas without producing long and cosmetically unacceptable scars. The technique is easy to perform and permits rapid evacuation of hematomas, thereby minimizing patient discomfort.
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              Management of auricular hematomas with suction assisted lipectomy apparatus.

              M Krugman (1989)
              A rugby player with a large 5-day-old auricular hematoma was successfully treated with aspiration, using the suction-assisted lipectomy apparatus and tie-over bolstering.
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                Author and article information

                Journal
                BMC Emerg Med
                BMC Emergency Medicine
                BioMed Central (London )
                1471-227X
                2005
                13 December 2005
                : 5
                : 11
                Affiliations
                [1 ]Department of Orthopaedics, Epsom General Hospital, Epsom, Surrey, UK
                Article
                1471-227X-5-11
                10.1186/1471-227X-5-11
                1351199
                16351725
                c9597082-0588-4858-bc8a-78704262f2b9
                Copyright © 2005 Chami et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 9 May 2005
                : 13 December 2005
                Categories
                Research Article

                Emergency medicine & Trauma
                Emergency medicine & Trauma

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