How to Address Subcutaneous Fluid Accumulation?

Many people do not understand what subcutaneous effusion is. In fact, subcutaneous effusion is mainly caused by edema due to skin damage, which often occurs at this time. It may also be caused by surgery or other reasons. If the amount of subcutaneous effusion is very small, it generally will not have a negative impact on health. At this time, as long as attention is paid to heat therapy, it can generally be handled well. However, for more serious subcutaneous effusion, vigilance should be exercised. In addition to drug treatment, surgical incision and drainage can also be used.

1. Color Doppler ultrasonography can be used to check subcutaneous effusion. If the amount of effusion is small and asymptomatic, local application of a hot water bag for heat therapy can be used twice a day, about 30 minutes each time, to promote local blood circulation and eliminate effusion.

2. If the subcutaneous effusion is relatively small and there is mild local compression symptoms, a 20-ml syringe can be used to withdraw the effusion, and then the local area can be pressed and wrapped with gauze, and fixed with tape.

3. If the amount of subcutaneous effusion is relatively large and there are local compression symptoms, pain, and swelling, incision and drainage treatment can be performed under local anesthesia.

Subcutaneous hematoma formation after bruising, including chronic effusion formed by liquefaction of hematoma after trauma, occurs inside the wound after surgery. The effusion can be bloody, purulent, or clearer tissue exudate. The treatment methods include puncturing and withdrawing small subcutaneous effusion, compressing and wrapping, which often cannot solve the problem at once and requires repeated puncture. At the same time, heat therapy and microwave therapy can be given. Large areas of effusion can be treated with puncture catheter drainage or incision and drainage, while necessary dressing changes are given. If the subcutaneous effusion is purulent and accompanied by systemic symptoms such as fever, certain anti-inflammatory treatment is also needed, including bacterial culture and drug sensitivity testing. Effective antibiotics are selected based on the results.