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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Several Comorbidities And Partial Hip Replacement. Surgery Done And Bleeding Due To Staples. Hematoma Present. Does Coumadin Causes This?

76 year old female withseveral co-morbidities had right partial hip replacement after breaking ball off femur from fall. Surgery done 3/17/12, staples used and now one pin point incision is bleeding. There is a huge hematoma which has been treated with hot moist compresses 3x day. Female takes coumadin. What would cause this?
Sun, 29 Jul 2012
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Orthopaedic Surgeon,  's  Response
Coumain or Warfarin thins the blood and hence the bleeding point has kept on oozing & formed a hematoma. She needs to see a Hematologist or Physician who can treat her Hematoma & bleeding tendency with stoppage of the coumadin, Vit' K injections, etc. There is a risk of her developing an infection in the hematoma which would be a disaster as there is an artificial hip underneath. Antibiotic cover is neccessary. Sometimes once the clotting is under control ( INR less than 2), a surgical evacuation & washout of the hematoma can be done.
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Several Comorbidities And Partial Hip Replacement. Surgery Done And Bleeding Due To Staples. Hematoma Present. Does Coumadin Causes This?

Coumain or Warfarin thins the blood and hence the bleeding point has kept on oozing & formed a hematoma. She needs to see a Hematologist or Physician who can treat her Hematoma & bleeding tendency with stoppage of the coumadin, Vit K injections, etc. There is a risk of her developing an infection in the hematoma which would be a disaster as there is an artificial hip underneath. Antibiotic cover is neccessary. Sometimes once the clotting is under control ( INR less than 2), a surgical evacuation & washout of the hematoma can be done.