Abstract

MANAGEMENT OF CONCEALED HAEMORRHAGE WITH INCISION AND DRAINAGE UNDER LOCAL ANAESTHESIA – A CASE STUDY

Payal Babasaheb Benkar* and Madhavi S. Banarase

Abstract

Introduction- Surgery is one of the branches of Ayurveda also known as Shalyatantra. Acharya Sushruta made important contribution to the field of surgery. Incision and Drainage is a procedure by which any collection beneath the skin or between the muscles or between any plane is drained by making an incision on the overlying structure. Case Presentation- A 53 yr old male patient had come to the opd with the gross swelling over anterolateral aspect of right thigh with the pain and ecchymosis over the same region and multiple ecchymotic patche b/l ankle joint since he came across with an accident (dashed by a 4 wheeler) 15 days back. Management and Outcome- The 2 separate stab Incisions were made 1st on prominent part and 2nd counter incision on the depending part of thigh. All the liquefied haematoma was drained through the icions, cavity irrigation done and 2 corrugated drains kept and fixed and pressure dressing done with the application of tight crepe bandage. Discussion-This case report proved that the huge liquified haematoma can also be drained through small incisions under local anaesthesia.

Keywords: Haematoma, Ecchymosis, Incision and Drainage.