Epidural Hematoma: This type of hematoma is generally due to arterial bleeding between the skull plate and the outer lining of the brain. It also dictates the type of procedure and its urgency.Ĭertain indications for surgical drainage of hematoma are mentioned below:ġ. It depends on the location of the hematoma and the severity of the symptoms. In certain situations, hematomas require surgical drainage. However, do not consume other pain medications like aspirin or ibuprofen on your own, as they can slow the clotting process and increase the risk of bleeding. Additionally, you can take pain medications such as acetaminophen.Elevation: Elevation of the injured area above the level of the heart is recommended.Compression: Light compression is helpful by wrapping the area with an elastic bandage.Ice: apply an ice pack or compression for 20 minutes at a time for 48 hours following the injury to reduce swelling and inflammation.These steps can be remembered with the acronym RICE. The following steps can be carried out to care for hematoma at home. However, sometimes they can be a medical emergency requiring prompt treatment.Įven if the hematoma resolves on its own, self-care is important to prevent complications and reduce pain and swelling. Most hematomas require no specific treatment and resolve on their own. The treatment of hematoma depends on the location, symptoms, and medical condition of the patient. Nasal septal hematoma: A septal hematoma is formed within the nasal septum, separating two nasal passages.Scalp hematoma: Hematoma formed within a layer of the scalp.Hepatic hematoma: Hepatic hematomas are formed in the liver.Splenic hematoma: It is a hematoma formed in the spleen.Intraabdominal hematoma: Hematoma formed within the abdomen.Retroperitoneal hematoma: Hematoma formed in the retroperitoneal structures, posterior to the peritoneum.Peritoneal hematoma: Hematoma formed within the peritoneum.Ear hematoma: It occurs between the auricular cartilage and the perichondrium.Muscular hematoma: It is a hematoma formed within the muscle group.
Subdural hematoma: It is the collection of blood between the dura mater and the arachnoid mater (lining of the brain that lies deeper than the dura mater).Epidural hematoma: A collection of blood between the skull and the dura mater (the outer protective lining of the brain).The severity and need for surgical drainage are also primarily based on the location of the hematoma. Hematomas are classified and named based on their location in the body. However, some hematomas need surgical drainage depending on the location and symptoms. They usually resolve over time as the blood clot is removed and the blood vessels are repaired. Most hematomas are harmless and not a cause for concern. A hematoma can arise from injuries, certain medications such as aspirin, clopidogrel, warfarin, rivaroxaban, dabigatran, and bleeding disorders such as thrombocytopenia. The difference between a hematoma and a hemorrhage is that the latter refers to persistent bleeding, whereas the former typically has already formed a clot. Injuries occurring in capillaries, veins, or arteries can form hematomas. A hematoma is generally associated with pain and swelling. An injury to small blood vessels is called a bruise, whereas if larger blood vessels are involved, it is termed a hematoma. A hematoma refers to a pooling of blood in the surrounding tissues after an injury to the blood vessels.
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