*Corresponding author:Wen Tsao Ho, Department of dermatology, Ho Wen Tsao Skin Clinic, No. 179, New Taipei city, Taiwan
Received: February 21, 2018; Published: February 28, 2018
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Currently, various techniques are used to prevent hematomas, including drainage tubes, fibrin glue, quilting sutures and tieover dressings . Considered fibrin glue failed to influence the incidence of postoperative seromas on a systematic review of randomized controlled trials. The technique issued by Roh NK did indeed significantly decrease the incidence of hematomas . We have applied this technique in our daily practice and still encountered some hematomas. We tried to solve these problems and would like to share our experiences in this letter. The tie over bandage was crucial for preventing hematomas. The patients were scheduled to remove the tie over bandage on the third day. We found the color was rusty to black instead of reddish, which means the active bleeding might occur mainly in the first 1-2 days and we can deduce that removal of the bandage on the third day is feasible. Although quilting sutures reduced the occurrence of hematomas, we still subsequently found a few hematomas and seromas with a particular presentation in between the quilting sutures after removing the tie-over bondage at 3 days post-operatively.