Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery

Uzundere, Osman; Ege, Serhat; Kahveci, Bekir; budak, mehmet şükrü; Kahveci, Gaye; Peker, Nurullah; Sucu, Mete; obut, mehmet

doi:10.21613/GORM.2019.961

Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery

Bekir Kahveci, (Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Araştırma ve Eğitim Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Diyarbakır, Türkiye)

Mehmet Obut, (Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Araştırma ve Eğitim Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Diyarbakır, Türkiye)

Serhat Ege, (Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Araştırma ve Eğitim Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Diyarbakır, Türkiye)

Mete Sucu, (Çukurova Üniversitesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Adana, Türkiye)

Nurullah Peker, (Dicle Üniversitesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Diyarbakır, Türkiye)

Osman Uzundere, (Sağlık Bilimleri Üniversite Gazi Yaşargil Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı,Diyarbakır, Türkiye)

Gaye Kahveci, (Dicle Üniversitesi, Aile Hekimliği , Diyarbakır, Türkiye)

Mehmet Sukru BUDAK (Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Araştırma ve Eğitim Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Diyarbakır, Türkiye)

GORM:Gynecology Obstetrics & Reproductive Medicine

83 2

Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 60 - 64 Metin Dili: İngilizce DOI: 10.21613/GORM.2019.961 İndeks Tarihi: 20-06-2021

Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery

Öz:

OBJECTIVE: Postoperative hematoma following abdominal surgery is relatively rare and mainly depends on the type of surgery. Specific treatment including surgery or interventional radiology is sometimes necessary. The aim of this study is to evaluate the cases of postoperative hematoma after gynecologic and obstetric surgery.STUDY DESIGN: This is a retrospective cohort study of 30 patients with hematoma developed after gynecologic and obstetric surgery. We included the patients who hospitalized with the diagnosis of a postoperative hematoma between June 2017 and April 2019 at Gazi Yasargil Training and ResearchHospital of Health Sciences University. Hematomas occurring after endoscopic surgery and episiotomywere not included. The diagnosed cases were divided into three groups as wound hematoma, rectussheath hematoma and intra-abdominal hematoma (intraperitoneal and retroperitoneal). All cases wereassessed by patient demographics and clinical findings, hematoma of characteristics, treatment methods and results.RESULTS: A total of 30 patients were included in the study with a mean age of 33.0±8.6 years.Incidence of hematoma account for 0.2%. The mean c-reactive protein was 37.9±47.4 mg/dL at admission and 14.6±25.8 mg/dL at discharge, respectively. The decrease was statistically significant (p <0.001). The mean hemoglobin was 10.6±2.1 g/dL at admission and 10.7±1.5 g/dL at discharge. Feverwas detected in 7 (23.3%) patients. Only 12 patients (40%) were followed up by observation and symptom management. In 10 (33.3%) patients, antibiotics were included in the treatment due to infection. Inaddition, 4 patients (13.3%) had relaparotomy, 5 patients (16.7%) underwent percutaneous radiologicaldrainage and 8 (26.7%) received blood transfusion. The mean time of resorption of the hematoma was4.6 ± 2.0 days. The evaluation of the hematoma locations revealed that 14 patients (46.7%) had woundhematoma, 7 patients (23.3%) had rectus sheath hematoma (Type I: 2 cases, type II: 3 cases, type III:2 cases), 8 patients (26.7%) had pelvic hematoma and 2 patients (6.7%) had a retroperitonealhematoma. The mean hematoma size was 68.1±15.18 mm.CONCLUSIONS: In cases of hematoma resistant to antibiotic treatment and non-resorbable hematoma,we can consider percutaneous catheter drainage as an alternative to surgical intervention

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kahveci B, obut m, Ege S, Sucu M, Peker N, Uzundere O, Kahveci G, budak m (2021). Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. , 60 - 64. 10.21613/GORM.2019.961
Chicago	Kahveci Bekir,obut mehmet,Ege Serhat,Sucu Mete,Peker Nurullah,Uzundere Osman,Kahveci Gaye,budak mehmet şükrü Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. (2021): 60 - 64. 10.21613/GORM.2019.961
MLA	Kahveci Bekir,obut mehmet,Ege Serhat,Sucu Mete,Peker Nurullah,Uzundere Osman,Kahveci Gaye,budak mehmet şükrü Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. , 2021, ss.60 - 64. 10.21613/GORM.2019.961
AMA	Kahveci B,obut m,Ege S,Sucu M,Peker N,Uzundere O,Kahveci G,budak m Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. . 2021; 60 - 64. 10.21613/GORM.2019.961
Vancouver	Kahveci B,obut m,Ege S,Sucu M,Peker N,Uzundere O,Kahveci G,budak m Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. . 2021; 60 - 64. 10.21613/GORM.2019.961
IEEE	Kahveci B,obut m,Ege S,Sucu M,Peker N,Uzundere O,Kahveci G,budak m "Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery." , ss.60 - 64, 2021. 10.21613/GORM.2019.961
ISNAD	Kahveci, Bekir vd. "Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery". (2021), 60-64. https://doi.org/10.21613/GORM.2019.961

APA	Kahveci B, obut m, Ege S, Sucu M, Peker N, Uzundere O, Kahveci G, budak m (2021). Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. GORM:Gynecology Obstetrics & Reproductive Medicine, 27(1), 60 - 64. 10.21613/GORM.2019.961
Chicago	Kahveci Bekir,obut mehmet,Ege Serhat,Sucu Mete,Peker Nurullah,Uzundere Osman,Kahveci Gaye,budak mehmet şükrü Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. GORM:Gynecology Obstetrics & Reproductive Medicine 27, no.1 (2021): 60 - 64. 10.21613/GORM.2019.961
MLA	Kahveci Bekir,obut mehmet,Ege Serhat,Sucu Mete,Peker Nurullah,Uzundere Osman,Kahveci Gaye,budak mehmet şükrü Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.27, no.1, 2021, ss.60 - 64. 10.21613/GORM.2019.961
AMA	Kahveci B,obut m,Ege S,Sucu M,Peker N,Uzundere O,Kahveci G,budak m Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(1): 60 - 64. 10.21613/GORM.2019.961
Vancouver	Kahveci B,obut m,Ege S,Sucu M,Peker N,Uzundere O,Kahveci G,budak m Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(1): 60 - 64. 10.21613/GORM.2019.961
IEEE	Kahveci B,obut m,Ege S,Sucu M,Peker N,Uzundere O,Kahveci G,budak m "Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery." GORM:Gynecology Obstetrics & Reproductive Medicine, 27, ss.60 - 64, 2021. 10.21613/GORM.2019.961
ISNAD	Kahveci, Bekir vd. "Evaluation and Management of Patients with Hematoma After Gynecologic and Obstetric Surgery". GORM:Gynecology Obstetrics & Reproductive Medicine 27/1 (2021), 60-64. https://doi.org/10.21613/GORM.2019.961