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0003-263 Ascari-Raccagni
Ascari-Raccagni A, Baldari U.
Liposuction surgery for the treatment of large hematomas on the leg. Dermatol Surg. 2000 Mar;26(3):263-5. PMID: 10759806

Department of Dermatology, "G. B. Morgagni-L. Pierantoni" Hospital, Forli,
Italy.

BACKGROUND: Post-traumatic hematomas overlying the muscular fascia on the
lateral aspect of the leg are common in elderly patients, particularly those
receiving oral anticoagulant therapy. When large collections of blood accumulate
within this region, the pressure within the hematomas may exceed the blood
pressure in the dermal and subdermal vessels. Large areas of necrosis of the
overlying skin may then result. OBJECTIVE: To decrease the pressure of evolving
and long-standing hematomas, thereby reducing inflammation and pain. METHODS:
Liposuction surgery was employed as a means of decompressing both evolving and
long-standing hematomas. RESULTS: Liposuction surgery has been found to be
useful in the treatment of hematomas on the leg, and has the added benefit of
producing cosmetically elegant results. An elastic compression bandage placed
postoperatively reduces the risk of relapse. CONCLUSION: Liposuction surgery may
be used to remove large leg hematomas without producing long and cosmetically
unacceptable scars. The technique is easy to perform and permits rapid
evacuation of hematomas, thereby minimizing patient discomfort.