<prompt> A woman complains of severe pain in vagina after vaginal delivery. OE - she is pale, her PR 110 beatsminute, BP 10060 mm of Hg. Vaginal examination reveals a large soft boggy mass on right lateral vaginal wall. What is the most appropriate treatment?Analgesics and observationTight vaginal packingDrain and insert a figure of 8 sutureDrain and explore for bleeding vessels  <response>: Ans. is c, i.e. Drain and insert a figure of 8 sutureThis patient is having soft, boggy mass on right lateral wall of vagina, i.e. she has vaginal hematoma. The hematoma has led to unstable Vitals. This is an indication for the surgical management of hematoma, i.e. put a drain and insert figure of 8 suture. Indications for the surgical management of hematoma are as follows:1. Hemodynamic instability2. Increasing size of hematoma3. Extensive pain 