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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bruises On The Abdominal Area

I had an abdominal hysterectomy May 19 (nearly 2 weeks ago) after the surgery, obviously I was bruised on the abdominal area. The bruising went away last week, but now has re-appeared, and is also darker (purple). Is this normal? Should I be concerned
Thu, 19 Feb 2015
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General Surgeon 's  Response
Hi.
Thanks for your query.
Bruising should not occur as this is not normal to have bruises on abdominal wall after hysterectomy at all.
This indicates that the hemostasis (control of bleeding) was not proper, or it occurred as a result of reactionary hemorrhage, meaning blood vessels can open up after the blood pressure shoots up during the post-operative period.

Clearing up of the bruises was a good indication, but re-appearance of darker bruises indicates that there is bleeding under the skin.

Yes, you should be concerned and consult the operating Surgeon immediately to see whether you need a conservative medical approach or surgical exploration for ligating the offending blood vessels.

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Suggest Treatment For Bruises On The Abdominal Area

Hi. Thanks for your query. Bruising should not occur as this is not normal to have bruises on abdominal wall after hysterectomy at all. This indicates that the hemostasis (control of bleeding) was not proper, or it occurred as a result of reactionary hemorrhage, meaning blood vessels can open up after the blood pressure shoots up during the post-operative period. Clearing up of the bruises was a good indication, but re-appearance of darker bruises indicates that there is bleeding under the skin. Yes, you should be concerned and consult the operating Surgeon immediately to see whether you need a conservative medical approach or surgical exploration for ligating the offending blood vessels.