HysterSisters Articles for Hysterectomy
Hematoma Risk after Hysterectomy
From the Hysterectomy Recovery Articles List
I’ve heard that you can have a hematoma after a hysterectomy. What is a hematoma and how is it treated?
A hematoma is a collection of blood outside of a blood vessel. It occurs because the wall of a blood vessel wall, artery, vein, or capillary, has been damaged, and blood has leaked into tissues where it does not belong. A bruise, for example, is actually a hematoma.
One reason that your surgeon had you stop taking medications such as aspirin and blood thinners prior to your surgery is to decrease the risk of hematomas. Hematomas can occur in any part of the body. During surgery, your surgeon will seal blood vessels as they are cut. S/he will double check those seals before closing the incision. If the clot sealing a blood vessel comes loose, bleeding can occur. This bleeding could lead to the formation of a sac of blood in the surgical site and surrounding tissues—this is a hematoma. It is not the same as a blood clot in a vein, and it doesn’t cause blood clots.
Increases in blood pressure and heart rate after surgery can trigger the chances of hematoma. These triggers include exercise, straining, vomiting, stress and alcohol. This is part of the reason it is so important to follow your doctor's instructions after your hysterectomy.
The symptoms of a hematoma are most frequently swelling and inflammation. There may be pain and a feeling of fullness in the affected area. Depending on the site, there may even be visible bruising. A common complication of all hematomas is the risk of infection. Since there is no blood supply to a hematoma—it is a collection of old blood—there is a risk of bacteria colonizing the site. If the hematoma becomes large enough, it can compress tissues and prevent oxygen from reaching surrounding tissue. This could cause tissue to die and increase risks of wound separation and necrosis.
If infection should develop in the wound, the signs and symptoms might be increasingly severe pain, a fever of 101 degrees (Fahrenheit) or more, swelling with surrounding redness, and pus. If any of these signs appear, notify your physician to make sure there are no additional problems.
Treatment for a hematoma depends on its severity. Mild cases will dissolve on their own after a couple of days. Severe cases, where the hematoma enlarges, will require a surgery to drain the accumulated blood and clamp down the blood vessels if there is continued bleeding. Your surgeon may require an X-ray, ultrasound, or CT scan to confirm that a hematoma is present. The surgeon may prescribe some medications to relieve pain or discomfort. Additionally, some medications may be prescribed to dilute the clot.
This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.
Options to Hysterectomy
Hormone and Menopause
Intimacy after Hysterectomy
Fitness after Hysterectomy
Grief and Loss
Ask A Doctor
Do you have a question?
If you have a medical support question related to this article, come JOIN US in our HysterSisters Community Forums. You will receive helpful replies to your questions from our members. See you there!
Recommended for Hysterectomy Recovery
The HysterSisters Store has gathered products made specifically for your recovery from surgery. Here are the best sellers we can recommend to help you:
- The Great Binder Set - We have made it very easy for you and combined the two best binders and the Silky Sac into a great set to save you money! Our favorite is the Perfect Pocket binder with cold/hot packs!
- Deluxe Hyst Prep Set - As you plan, we've gathered the best products into one set for special pricing.
- Post-Op Panty - These great panties speed recovery, and reduces scarring. They contain a medical-grade silicone panel over incision to reduce scar's apperance while they provide support to weakened muscles and tissues from surgery. Excellent!
- Softest Bra Ever - When you want to wear something, but feel nothing. This is the softest bra ever, in microfiber with no hardware or tags to chafe or dig! The comfort-ribbed underband stays in place gently, so it is perfect for sleeping and lounging.
- HysterSisters Accessory Kit - Are you a HysterSisters fan? This set has a fun collection of HysterSisters items.
- Very Private Moisture - Once your doctor gives you the green light for intimacy, this is the stuff! This is a best selling product with a high rate of permanent, satisfied, repeat customers! Relieves vaginal dryness instantly, protects tissue & enhances intimacy.
"Buy it for the problem, use it for the pleasure."
Find a Surgeon
|Susan Murrmann, M.D.
7205 WOlf River Blvd Ste 150
Memphis TN 38120
|Tamer Seckin, M.D.
872 FIFTH AVE
NEW YORK NY 10065
|Gerald Harkins, M.D.
Department of OB-Gyn
P.O. Box 850, H-103
Hershey PA 17033
|Melodie Wilson, M.D.
3650 Joseph Siewick Dr. #203
Fairfax VA 22033
|Charles Miller, M.D.
120 Osler Drive
Naperville IL 60540
|Arnold Advincula, M.D.
Florida Hospital Celebration Health
400 Celebration Place
Celebration FL 34747
|Byungyol Chun, M.D.
Northern Essex Women's Health
360 Merrimack St Entrance G
Lawrence MA 01843
|Andrew Blechman, M.D.
1944 Rt 33 Suite 101B
Neptune NJ 07754
|Kym Boyman, M.D.
1775 Williston Rd., Ste. 110
South Burlington VT 05403