Therapeutic management of traumatic tension hematoma with potential skin necrosis: a retrospective review of 180 patients

Introduction Tension hematoma is a frequent traumatic condition in elderly population under anticoagulation treatments. However, scarce literature exists focused in the management of this condition. In this article, a retrospective study of patients that suffered from traumatic tension hematomas tre...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2022-04, Vol.48 (2), p.1363-1367
Main Authors: Salmerón-González, Enrique, García-Vilariño, Elena, Pérez-García, Alberto
Format: Article
Language:English
Subjects:
Aged
Clinical outcomes
Critical Care Medicine
Debridement
Drainage
Emergency medical care
Emergency Medicine
Hematoma
Hematoma - surgery
Humans
Intensive
Length of stay
Medicine
Medicine & Public Health
Necrosis
Original Article
Retrospective Studies
Skin Transplantation
Soft Tissue Injuries
Sports Medicine
Surgery
Surgical Orthopedics
Traumatic Surgery
Treatment Outcome
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Summary:Introduction Tension hematoma is a frequent traumatic condition in elderly population under anticoagulation treatments. However, scarce literature exists focused in the management of this condition. In this article, a retrospective study of patients that suffered from traumatic tension hematomas treated at a plastic surgery department is reported. The objective was to evaluate the approach that provided better clinical outcomes, and the establishment of an evidence-based protocol. Methods This retrospective study comprised 180 patients suffering from tension hematomas. Patients were divided in four groups: the first and second groups included patients that underwent debridement and coverage in one stage and two stages, respectively. The third group included patients that required debridement without skin grafting, and the fourth group, patients with hematomas that only necessitated drainage. Demographic variables, comorbidities, timing and complication rates of each technique were evaluated. Results Length of hospital stay, medical complication and mortality rates were significantly higher in patients who underwent debridement and coverage surgeries in two separate procedures ( p  
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-021-01687-z