Hi, what is the best way to deal with a haematoma, my drain didnt work properly and is now out but i need the swelling and bruising to go. What can i fo to help it.
After a lumpectomy I was advised compression was good for swelling so wore a very snug high impact sports bra and that seems to help. When I had a haematoma this was drained by needle as it was putting pressure on the incision and causing it to leak fluid. It was done in seconds, completely painless and felt so much better afterwards. Bruising took a while to go, maybe 6-8 weeks.
Hope you are feeling more comfortable soon.
Hi sh18,
Thank you for your post asking about the best way to deal with a haematoma. A haematoma is a collection of blood that can form after surgery in the tissues surrounding the wound. It is a side effect of surgery which can occur in the first few days after surgery or once your drain has been removed, as in your case. Swelling, bruising, hardness and discomfort can all be signs of a haematoma.
It is always important to contact your breast care nurse or treatment team if you develop any of these symptoms so that you can be assessed to see if any further action is needed. The management of haematomas vary from person to person, depending on the size of the haematoma and your symptoms. Usually, the blood will be reabsorbed without any intervention, but this can take a few weeks.
Sometimes compression and a supportive bra is recommended and occasionally needle drainage of the area may also be required as @southwest123 experienced. If an infection is suspected, antibiotics may be prescribed. If the haematoma is very large and increasing in size, very occasionally it is necessary to return to theatre for a surgical excision of the haematoma, although this is rare.
Haematomas and bruising can cause increased pain and discomfort, so it may help to take regular simple analgesia and to reduce your activity levels until you are more comfortable. You may need to modify your post op exercises. Your breast care nurse will be able to advise you on the best course of action in your situation.
We offer a range of free supportive services for anyone who has had a diagnosis of breast cancer which you may be interested in. They include face to face and online courses and events.
For more details about all of these services, please see the information on the link, or call our free helpline if you would like to talk this through or have any further questions. The helpline team have time to listen, talk things through and signpost you to more support and information if necessary. Your call will be confidential, and the number is free from UK landlines and all mobile networks. The number is 0808 800 6000, (Relay UK -prefix 18001).
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Best wishes
Katy
Breast Care Nurse
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Not sure its common?