Simple technique for evacuation of traumatic subcutaneous haematomas under tension

Abstract

Background: Traumatic subcutaneous haematomas are common cases in the accident and emergency department. Occasionally, urgent evacuation is required to prevent skin necrosis. Methods: We present a simple and safe technique, based on a principle similar to liposuction to evacuate traumatic subcutaneous haematomas under tension. Instruments readily available in the accident and emergency department are used without the need of general anaesthesia. Results: The technique was performed in six cases without complication such as infection or re-collection of the haematoma under tension. We present two typical scenarios where urgent evacuation was indicated and the technique performed. Conclusions: The technique is useful as an urgent and safe procedure in the accident and emergency department setting. © 2005 Chami et al., licensee BioMed Central Ltd.