Puncture of fluid-filled soft tissue lesions and hematomas
Puncture may be used to remove fluid from soft tissues, including hematomas that persist after an injury, cause pain or pressure, or do not resolve on their own. The surgeon evaluates the lesion, determines whether the procedure is indicated, and selects the appropriate approach based on its location, size, and characteristics.
What is a hematoma and when may a puncture be needed?
A hematoma is a collection of blood within the tissues, most commonly caused by a blow, fall, sports injury, or other damage to blood vessels. Small hematomas usually gradually resolve on their own. However, in some cases, a significant amount of blood remains within the tissues, forming a painful or tense swelling that does not decrease over time.
Hematoma puncture is a procedure in which a doctor removes the fluid content of the hematoma through a needle puncture. It may be recommended when the hematoma does not resolve, causes pain or pressure on the surrounding tissues. Puncture may also be used for other fluid-filled soft tissue lesions; after examination, the surgeon determines their nature and whether the procedure is appropriate.
When may a doctor recommend a puncture?
- The hematoma does not decrease over a prolonged period.
- The swelling increases or remains tense.
- The hematoma causes pain, pressure, or restricted movement.
- A significant fluid collection remains in the soft tissues after an injury.
- A fluid-filled lesion develops after surgery.
- The fluid needs to be obtained for further assessment.
- After examination, the surgeon determines that fluid aspiration is indicated.
FAQ
How is a fluid-filled soft tissue lesion punctured?
First, the surgeon examines the lesion and assesses its location, size, and characteristics. Once the procedure is indicated, the skin is treated with an antiseptic, and the fluid is aspirated through a thin needle.
After the procedure, the doctor assesses the treated area and provides recommendations for further care. If the characteristics of the lesion require additional examination, the doctor determines the appropriate diagnostic approach.
Is a puncture painful?
A puncture involves inserting a thin needle through the skin, so you may briefly feel a needle prick or pressure in the area of the lesion. The level of discomfort depends on its location, size, and the amount of fluid that needs to be removed. Before the procedure, the surgeon assesses the situation and, if necessary, uses local anesthesia to reduce discomfort.
Book a consultation and puncture
If a hematoma, swelling, or another fluid-filled soft tissue lesion persists after an injury, causes pain, or does not decrease over time, consult a surgeon for an examination. The doctor will determine the nature of the lesion and whether puncture or another treatment approach is appropriate.
Doctor Sam is located in Kyiv at 1 Kiltseva Road, Respublika Park Shopping Mall, near Teremky metro station. To book a consultation with a surgeon or clarify the details, call +380 97 312 92 91.
