Most hematomas form within the
first 24-48 hours. These can be treated by removing
staples, lifting the matrix, evacuating the hematoma
and addressing the cause of bleeding. This technique
is also referred to
as "windowing." Late-forming hematomas
are less common and typically form after 48 hours.
These hematomas are incorporated into the surrounding
Neodermis and/or matrix.
Consequently, they must be treated
by removing the silicone over the affected area,
excising the hematoma and either applying a new
piece of INTEGRA® Template or treating the area
as an open wound until grafting.