Richard M. Levin, MD., PSC. | Phone: 502-584-7787 | Fax: 502-589-3842 | infertility@babies-by-levin.com

 
 
tubal reversal video clips     Youtube     Small facebook icon Incisional hemotoma

 
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This patient developed a significant hematoma after her surgery. A hematoma is a collection of blood which in this case developed in the fatty layer of the abdominal wall. Here you can see broad areas of echymosis (bruising) when can even go down into the vaginal labia. This is not a major medical emergency but is definitely an annoyance until it resolves. This patient was instructed to put hot soaks on it. The following photos show the steady progression of the incision until it is finally totally healed without any further surgical intervention. If you develop what you think is a hematoma you should contact Dr. Levin either by e-mail or by phone during normal office hours for confirmation and advice as how to handle it. It would be best to e-mail Dr. Levin some digital photos showing both the front and side views to infertility@babies-by-levin.com. Please make sure the photos are in focus and adequately show what's going on.
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Area on the right is beginning to drain the blood from the fatty layer. You should wear a panty liner in your panties to absorb the blood and help keep the skin dry. Don't tape up the incision because if you do you will encourage bacteria to grow. You should clean the incision with fresh peroxide several times each day. You can also feel free to use some Neosporin ointment on the incision.
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The area on the right is finished draining but now the area on the left of the photo is coming to a head and will drain a bit of blood. This patient continued the hot soaks.
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Both areas have finished draining and the small amount of remaining blood will be absorbed by the body with continued soaks. Once the draining has stopped and the skin edges are sealed the use of a bath tub can make the hotsoaks easier.
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Further resolution . . .
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Further resolution . . .
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Further resolution . . .

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