Currently, various techniques are used to prevent #hematomas,
including drainage tubes, fibrin glue, quilting sutures and #tieover
dressings [1]. Considered fibrin glue failed to influence the
incidence of postoperative #seromas on a systematic review of
randomized controlled trials. The technique issued by Roh NK
did indeed significantly decrease the incidence of hematomas
[2]. We have applied this technique in our daily practice and still
encountered some hematomas. We tried to solve these problems
and would like to share our experiences in this letter. The tie over
bandage was crucial for preventing hematomas. The patients were
scheduled to remove the tie over bandage on the third day. We
found the color was rusty to black instead of reddish, which means
the active bleeding might occur mainly in the first 1-2 days and we
can deduce that removal of the bandage on the third day is feasible.
Although quilting sutures reduced the occurrence of hematomas,
we still subsequently found a few hematomas and seromas with
a particular presentation in between the quilting sutures after
removing the tie-over bondage at 3 days #post-operatively.
For more Biomedical open access journals Please click on
My Experience to Prevent Hematoma on Hyperhidrosis Surgery by Wen Tsao Ho in BJSTR
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