Newer Hemostatic Agents Used in the Practice of Dermatologic Surgery

Table 7

Hematoma management.

Early hematoma formation	Late hematoma formation
(i) Reopen the wound and localize the bleeding site.; (ii) Achieve hemostasis by electrocoagulation/ligation of the affected vessels or by application of topical hemostatic agents.; (iii) If bleeding cannot be adequately controlled, place a drain into the wound for up to 24 hours.; (iv) Resuture the site and apply the appropriate pressure dressing.	(i) If small, may only require observation.; (ii) If large and within the first week, evacuate the area and leave open to heal by secondary intention [63].; (iii) If not discovered until late (weeks to months later), aspirate the area with a 16–18 gauge needle; [63, 65].