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1: BMC Emerg Med. 2005 Dec 13;5:11.Click here to read Click here to read Links

Simple technique for evacuation of traumatic subcutaneous haematomas under tension.

Chami G, Chami B, Hatley E, Dabis H.

Department of Orthopaedics, Epsom General Hospital, Epsom, Surrey, UK. georgechami@hotmail.com

BACKGROUND: Traumatic subcutaneous haematomas are common cases in the accident and emergency department. Occasionally, urgent evacuation is required to prevent skin necrosis. METHODS: We present a simple and safe technique, based on a principle similar to liposuction to evacuate traumatic subcutaneous haematomas under tension. Instruments readily available in the accident and emergency department are used without the need of general anaesthesia. RESULTS: The technique was performed in six cases without complication such as infection or re-collection of the haematoma under tension. We present two typical scenarios where urgent evacuation was indicated and the technique performed. CONCLUSION: The technique is useful as an urgent and safe procedure in the accident and emergency department setting.

PMID: 16351725 [PubMed]

PMCID: PMC1351199