Axillary Hematomas After Surgery: Symptoms and Management - Plastic Surgery

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Axillary hematomas can occur after surgical procedures, such as axillary lymph node dissection or other surgeries involving the axillary region. Understanding the symptoms, management, and when to seek further medical attention is crucial for recovery.


Symptoms of Axillary Hematomas
After surgery, it is common to experience some swelling and tenderness in the affected area. However, a hematoma is characterized by the accumulation of blood outside of blood vessels, which can lead to more pronounced symptoms. Here are some signs that may indicate the presence of a hematoma:
1. Swelling: A noticeable increase in size of the area, which may feel firm or hard to the touch.

2. Pain or Tenderness: Increased pain in the area, especially when touched or moved.

3. Discoloration: The skin may appear bruised or discolored, ranging from red to purple, depending on the age of the hematoma.

4. Warmth: The area may feel warm to the touch, which can indicate inflammation or infection.

5. Limited Range of Motion: Difficulty moving the arm or shoulder on the affected side due to pain or swelling.


Management of Axillary Hematomas
If you suspect that you have developed a hematoma, it is essential to monitor the symptoms closely. Here are some general management strategies:
1. Rest: Avoid strenuous activities that may exacerbate the swelling or pain.

2. Ice Therapy: Applying ice packs to the area for 15-20 minutes every hour can help reduce swelling and numb the pain.

3. Compression: If advised by your healthcare provider, using a compression bandage can help minimize swelling.

4. Elevation: Keeping the affected arm elevated can also help reduce swelling.

5. Pain Management: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate discomfort. However, consult your doctor before taking any medication, especially if you are on blood thinners or other medications.


When to Seek Medical Attention
It is crucial to contact your healthcare provider if you notice any of the following:
- Increasing Size: If the swelling continues to increase or does not improve with home management.

- Severe Pain: If the pain becomes unbearable or is not relieved by over-the-counter medications.

- Signs of Infection: If you notice redness, warmth, or pus draining from the area, or if you develop a fever.

- Limited Mobility: If you are unable to move your arm or shoulder due to pain or swelling.


Diagnosis of Hematomas
To confirm the presence of a hematoma, your doctor may perform a physical examination and may order imaging studies, such as an ultrasound or CT scan, to assess the extent of the hematoma and rule out other complications.

In conclusion, while some swelling and discomfort are normal after surgery, it is essential to differentiate between typical post-operative symptoms and those indicative of a hematoma. Monitoring your symptoms and following up with your healthcare provider will ensure proper management and recovery. If you have any concerns about your condition, do not hesitate to reach out to your doctor for personalized advice and treatment options.