How many days will it take for the swelling of the labia majora to disappear after the blood disappears?

Generally speaking, it is common to have blood bruises on the labia majora. As for how long it will take for the swelling to subside, it depends on the condition of the patient. If the hematoma becomes more and more serious, it is best to go to the hospital for a check-up. In order to prevent infection, you must pay attention to the cleanliness and hygiene of the vulva, change your underwear frequently, pay more attention to rest, and avoid eating spicy and irritating foods.

Vulvar hematoma is mostly caused by direct collision of the vulva with hard objects, injuries during childbirth such as episiotomy, laceration, varicose vein rupture or rough sexual intercourse, especially those against young girls and elderly women.

1. Preoperative preparation

1. Ask about medical history in detail.

2. Carefully examine the location, size and range of the hematoma; whether there are any combined injuries to the urethra, vagina, bladder, rectum, etc.; whether there are any signs of active bleeding and infection.

3. Check the blood pressure, pulse, body temperature, blood type, bleeding and clotting time, hemoglobin, and perform urinary catheterization if necessary.

4. Administer appropriate blood transfusion if bleeding is excessive and give antibiotics if there are signs of infection.

5. Prepare gelatin sponge, hemostatic powder, Vaseline gauze, etc.

The rest is the same as the general preoperative preparation for vulvar surgery.

1. If the hematoma is large and there may be urinary retention, catheterization should be performed first.

2. Make a longitudinal incision on the mucosal surface of the weakest and most protruding part of the hematoma wall, directly reaching the hematoma cavity.

3. Remove blood clots in the hematoma cavity. Use fingers or gauze to remove all blood clots and send them for bacterial culture. Irrigate the hematoma cavity with sterile cold saline.

4. Stop bleeding

Carefully check whether there are active bleeding points in the cavity. If there are, suture and ligate with fine silk thread. If it is diffuse oozing and the bleeding points are not clear, place gelatin sponge or hemostatic powder, press with gauze for a while, and then suture and close the wound cavity, which can often achieve the purpose of hemostasis.

5. Suture the wound: After sufficient hemostasis, use No. 0 intestinal suture to make intermittent or purse-string sutures from the bottom of the hematoma cavity to close the hematoma cavity without leaving any gaps.

6. Suture the incision: trim the excess incision edges, align them, and use absorbable sutures for interrupted sutures.

7. Place drainage

If the hematoma is large, or there is a small amount of bleeding, or there is suspected infection, place a rubber drainage strip directly to the bottom of the cavity when suturing the incision. If there is infection or suppuration, remove the blood clot, stop the bleeding fully, clean the hematoma cavity, and place a drainage without suturing.

Postoperative treatment of vulvar hematoma:

1. Cover the sutured wound with sterile gauze, add cotton pads, and secure it with a T-belt.

2. Use antibiotics to prevent and treat infection, and give vitamin K and hemostatic drugs to promote hemostasis.

The rest are general postoperative treatments for vulvar surgery.

Just change the medicine on time. Pay attention to local cleanliness and keep the dressing tidy. If the pain is unbearable, you can take painkillers.