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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurrent Drainage In Hematoma?

I had a total hip replacement back in Feb these year, surgery went very well and the Recovery wents good too. 3 months later developed a red and hard hematoma, near to the scar, after treatments don t work, I went to surgery again in August to remove the hematoma and the Surgeon put a Drain for 1 week, 1 month later it started again... :( a small bruise appear and turns into a hole.. but not drain nothing, Dr. Jeffrey Rich, my Surgeon send me to do a Ct Scan and the results show liquid in the same place that was operated.. Dr. send me to hospital to a Radiologist to extract that liquid. A large and tick Syringe full of that nasty yellow liquid as been removed... I felt the relief right after the extraction :) but.... today, 1 week later.. I stared feel pain again, a burning pain again in the same place... My question is: What can cause these liquid? Something is wrong? is my body rejecting the Implant? Jesus Christ!!! I m very tired of pains and tired of these problem!!! Thank you in advance if you can answer my question. ___ Zinda Pereira
Mon, 15 Feb 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.
Noted that you had been operated upon for hip replacement and developed hematoma after 3 months.
Since it was operated and recurred again indicates that there may be a foreign body reaction to the stitch or so or the dead tissues working as foreign body.
I would suggest in such a case proper excision of any unhealthy tissues and the dead necrotic tissues.
Once the causative factor is removed, there will not be any hematoma formation. Antibiotic cover is required if there is an evidence of an infection.
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What Causes Recurrent Drainage In Hematoma?

Hi. Thanks for your query and an elucidate history. Noted that you had been operated upon for hip replacement and developed hematoma after 3 months. Since it was operated and recurred again indicates that there may be a foreign body reaction to the stitch or so or the dead tissues working as foreign body. I would suggest in such a case proper excision of any unhealthy tissues and the dead necrotic tissues. Once the causative factor is removed, there will not be any hematoma formation. Antibiotic cover is required if there is an evidence of an infection.