Is it common to have a hematoma after a hysterectomy?

Hysterectomy may be performed via abdominal or vaginal route with the former including open, laparoscopic and robotic surgery. Pelvic hematoma is a common postoperative finding following hysterectomy, with an incidence ranging between 25 and 98% [2, 3].

How do you treat a hematoma after a hysterectomy?

Having a hematoma may increase the chances of infection. A doctor may use an ultrasound or CT scan to diagnose a pelvic hematoma. They can treat the hematoma using pain relief, antibiotic medications, and surgical drainage. Sometimes, a hematoma resolves without intervention.

How long does it take for a pelvic hematoma to go away?

The swelling and pain of the hematoma will go away. This takes from 1 to 4 weeks, depending on the size of the hematoma. The skin over the hematoma may turn bluish then brown and yellow as the blood is dissolved and absorbed. Usually, this only takes a couple of weeks but can last months.

What are the symptoms of a pelvic hematoma?

What are the symptoms?

• Pain and swelling. You may be able to feel or see a mass covered by purple- or blue-colored skin, similar to a bruise.
• Painful or difficult urination. If the mass puts pressure on your urethra or blocks your vaginal opening, you might have hard time urinating.
• Bulging tissue.

What causes a hematoma after surgery?

During surgery, hematomas are caused by an injury to the wall of a blood vessel, prompting blood to seep into the surrounding tissues. Your surgeon will seal blood vessels as they are cut and will double-check those seals before closing the incision.

Is a pelvic hematoma serious?

One of the major complications of pelvic surgery is symptomatic pelvic hematoma, which can present with pain, fever, and foul smelling discharge. The incidence of pelvic hematoma is 40%, and varies according to the type of hysterectomy and the diagnostic procedure. Those hematoma increase the risk for infection.