A Conservative Approach to Rectus Sheath
Haematomas

Önder, Akın; Kapan, Murat; Gümüş, Metehan; Böyük, Abdullah; Tekbaş, Güven; Gırgın, Sadullah; Taçyıldız, İbrahim

doi:10.29333/ejgm/82742

Cited by 4 publications

(7 citation statements)

References 10 publications

(13 reference statements)

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“…They found CM had the shortest hospital stay with a mean duration of 6.7 days (SD 3.2, p=0.028) [ 11 ]. Catching RSH and implementing CM early prior to progression to shock is key [ 16 ].…”

Section: Reviewmentioning

confidence: 99%

“…Computerized tomography (CT) scan is the gold standard for RSH diagnosis followed by ultrasonography [ 1 , 2 , 6 , 11 , 16 ]. Berna et al classified hematomas into three types.…”

Section: Reviewmentioning

confidence: 99%

“…Berna et al classified hematomas into three types. Type 1 RSH corresponds with intramuscular hematoma and minimal bleeding [ 6 , 16 ]. Type 2 RSH is an intramuscular hematoma with moderate bleeding, and Type 3 RSH is acute bleeding that extends outside of the muscle [ 6 , 16 ].…”

Section: Reviewmentioning

confidence: 99%

“…Type 1 RSH corresponds with intramuscular hematoma and minimal bleeding [ 6 , 16 ]. Type 2 RSH is an intramuscular hematoma with moderate bleeding, and Type 3 RSH is acute bleeding that extends outside of the muscle [ 6 , 16 ]. Type 1 RSH tends to resorb on its own within 30 days, and its management is mostly outpatient observation [ 16 ].…”

Section: Reviewmentioning

confidence: 99%

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A Proposed Algorithm on the Modern Management of Rectus Sheath Hematoma: A Literature Review

Liao¹,

Puckett²

2021

Cureus

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Rectus sheath hematoma (RSH) is a common entity with no clearly established protocol for management. Existing literature on RSH is outdated and does not incorporate modern technological advances in medicine and imaging. A total of 21 studies were included in this literature review based on PubMed and Google Scholar searches. Modern literature was selected from the last 10 years with the inclusion of three past pieces of literature. We performed a literature review to identify the latest research on RSH management and to consolidate an algorithm to help guide modern RSH treatment. Current RSH classification, scoring system, algorithm, and other predictors for treatment plan are discussed. The best RSH management requires early recognition of RSH followed by the appropriate implementation of conservative management and procedural intervention. The decision on picking the treatment of choice is assisted with the use of predictors, such as hematoma size, rate of hemoglobin drop, and the number of blood transfusions. Further studies are needed to clearly establish predictors among the different types of procedural intervention, and we hope the consolidated algorithm on current literature can help promote the standardization of protocol in the future.

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“…They found CM had the shortest hospital stay with a mean duration of 6.7 days (SD 3.2, p=0.028) [ 11 ]. Catching RSH and implementing CM early prior to progression to shock is key [ 16 ].…”

Section: Reviewmentioning

confidence: 99%

“…Computerized tomography (CT) scan is the gold standard for RSH diagnosis followed by ultrasonography [ 1 , 2 , 6 , 11 , 16 ]. Berna et al classified hematomas into three types.…”

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

See 2 more Smart Citations

A Proposed Algorithm on the Modern Management of Rectus Sheath Hematoma: A Literature Review

Liao¹,

Puckett²

2021

Cureus

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“…9 Fothergill's sign and Carnet's sign help to differentiate this condition from other intra-abdominal pathologies. 10 Also, RSH can be associated with anemia and elevated clotting times; thus, a complete blood count should be obtained and coagulation studies should be performed for an individual suspected of having an RSH. RSH can present diagnostic dilemmas due to its presentation as an acute abdomen or a space-occupying lesion.…”

Section: And200(17mentioning

confidence: 99%

Post-caesarean Rectus Sheath Haematoma

Upadhyaya

Joshi

2016

Nepal j. obstet. gynaecol.

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Rectus sheath haematoma of the abdomen is the accumulation of blood in the sheath of the rectus abdominis muscle as a result of disruption of the epigastric vessels or from a direct tear of the muscle itself. The aberrant course of vessels or injudicious dissection may contribute to this catastrophe. It encompasses a wide spectrum of severity -some self-limiting and others fatal GHSHQGLQJ RQ CORRESPONDENCE

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