Drainage of Hematomas

With the advancement of medicine and the development of surgical techniques, Professor Dr. Yousry Anwar El-Hamili, Professor of Neurosurgery and Spine Surgery at Cairo University Medical School, and his team strive to provide the best services for the surgical drainage of hematomas. In certain cases, surgical intervention is crucial to restoring the patient’s health and normal functions and potentially saving their life.

Dr. Yousry and his team possess high skills and extensive experience in neurosurgery, ensuring the highest levels of care and quality for patients. The team utilizes the latest surgical techniques and medical equipment to accurately and safely drain hematomas, focusing on minimizing complications and achieving the best outcomes for patients. Below are some details.

Intracranial Hematomas

Intracranial hematomas are accumulations of blood inside the skull, typically resulting from a ruptured blood vessel in the brain. They can also occur due to injuries such as car accidents or falls. Blood can accumulate in brain tissues or under the skull, exerting pressure on the brain.

Brain hematomas may result from vessel rupture due to injury, severe hypertension, brain infections, or brain surgeries. Common symptoms of brain hematomas include:

  • Severe headache
  • Nausea
  • Vomiting
  • Weakness
  • Paralysis
  • Mental confusion
  • Loss of consciousness

It’s important to note that brain hematomas are emergencies requiring immediate treatment, often involving surgical removal of the hematoma to relieve brain pressure and prevent serious complications.

Types of Brain Hematomas

The types of brain hematomas include:

Subdural Hematoma

This type occurs when blood vessels between the brain and the outer covering (dura mater) rupture. Blood leakage forms a hematoma that presses on brain tissues, potentially leading to gradual loss of consciousness and even death.

There are three types: acute, subacute, and chronic, differing in symptom onset and severity. Risk factors include:

  • Aging
  • Daily use of aspirin or other anticoagulants
  • Alcoholism

Epidural Hematoma

This type occurs when blood vessels between the dura mater and the skull rupture, causing blood to accumulate between these layers and form a mass that pressures brain tissues. It is often injury-induced and can be fatal if it affects a brain artery.

Intracerebral Hematoma

Also known as a cerebral hematoma, this type involves blood accumulation within brain tissues. Causes can include injury, ruptured aneurysms, high blood pressure, or tumors. Sudden blood leakage in the brain can be deadly, especially following head trauma.

How Are Hematomas Drained?

Draining hematomas typically involves surgery, depending on the type and size of the hematoma. Options include:

Surgical Drainage

If blood accumulates in a specific area and transitions from a solid clot to a liquid, the doctor may create a small opening in the skull and use suction to remove the fluid.


Large hematomas may require a craniotomy, where part of the skull is removed to access and remove the blood. The procedure involves:

  1. Preparation and Anesthesia: The patient is prepped, and surgical tools and general anesthesia are prepared. Imaging (MRI or CT) is performed to locate the hematoma.
  2. Stabilizing the Head: The patient’s head is stabilized with a headholder (Mayfield) during surgery.
  3. Creating Openings: Small holes are drilled in the skull to perform a craniotomy, allowing access to the hematoma.
  4. Removing the Hematoma: Surgical tools are carefully used to remove the hematoma, avoiding damage to surrounding brain tissues.
  5. Closing the Incision: The skull and skin are closed using sterile materials and secured tightly.

Postoperative Care

After hematoma drainage surgery, the patient receives:

  • Close Monitoring: The patient is closely observed during recovery to ensure no complications arise.
  • Regular Check-ups: Periodic examinations ensure stability and symptom improvement.
  • Wound Care: Dressings are regularly changed to keep the wound clean and prevent infection.
  • Physical Therapy: Rehabilitation may be needed to restore motor and functional abilities.
  • Psychological Support: Psychological therapy may be recommended to address post-surgery challenges.
  • Regular Medical Exams: Ongoing assessments monitor recovery progress and prevent recurrence.
  • Healthy Lifestyle: A nutritious diet and adequate fluid intake aid recovery.
  • Rest and Sleep: Sufficient rest and sleep support the healing process.
  • Continued Follow-up: Regular follow-up with the treating physician ensures ongoing improvement and adaptation to any potential issues.

Best Surgeon for Hematoma Drainage in Egypt

Professor Dr. Yousry Anwar El-Hamili and his team are renowned for their excellence in hematoma drainage surgery, characterized by:

  • Expertise and Precision: Dr. El-Hamili is highly regarded for his extensive experience and advanced surgical skills.
  • Comprehensive Services: He provides specialized surgical services with a focus on personalized patient care.
  • State-of-the-Art Techniques: Utilizing the latest surgical technologies ensures maximum success and safety.
  • Dedicated Care: His commitment to exceptional medical care and comprehensive patient support makes him the ideal choice for surgical treatment.


We are always here to support and guide patients and their families through every stage of treatment, from evaluation and diagnosis to post-surgery recovery. We strive to provide a safe and comfortable environment, meeting individual needs with the personalized care they deserve.

If you suffer from brain hematomas, you can contact us to book an appointment with Dr. Yousry for evaluation and diagnosis. Rest assured, you are promised excellent medical service towards safe recovery.