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Early recognition of postoperative hematoma formation
1Department of Surgery, University of Bochum, Bergmannsheil, Federal Republic of Germany.
Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|January 1, 1988
Summary
Postoperative hematomas can be infected, requiring prompt recognition. Early diagnosis using ultrasonography aids in managing these potentially contaminated surgical complications effectively.
Area of Science:
- Orthopedic Surgery
- Infectious Disease
Background:
- Postoperative hematomas are a known complication following orthopedic procedures.
- A significant proportion (25%) of these hematomas are contaminated, posing an infection risk.
Purpose of the Study:
- To highlight the importance of considering postoperative hematomas as potential infections.
- To evaluate the utility of ultrasonography in the early detection of postoperative hematomas.
Main Methods:
- Review of 100 postoperative treatments of the hip joint and femoral shaft.
- Clinical assessment for signs of infection.
- Ultrasonographical examination for hematoma identification.
Main Results:
- Early diagnosis of postoperative hematomas is crucial for preventing infection.
- Ultrasonography is an effective tool for early recognition when clinical symptoms arise.
- Low infection rates (1 early, 1 late) were observed in 100 treated cases, supporting early diagnosis.
Conclusions:
- Postoperative hematomas should be managed with suspicion for infection.
- Ultrasonography is recommended for early hematoma detection upon clinical suspicion.
- Prompt diagnosis and management of hematomas contribute to favorable surgical outcomes.