关键词: Morel-Lavallée lesion chronic minimal scarring surgical management

来  源:   DOI:10.13107/jocr.2024.v14.i07.4590   PDF(Pubmed)

Abstract:
UNASSIGNED: Morel-Lavallée lesion (MLL) is a closed degloving injury that occurs after traumatic damage to soft tissue, leading to the formation of an encapsulated serosanguinous collection of fluid. Although some MLLs resolve spontaneously, chronic MLLs present with a significant risk of infection and may impede patients\' quality of life. Chronic lesions require surgical intervention to evacuate and debride the hematoma, often resulting in severe cosmetic damage postoperatively.
UNASSIGNED: We documented a large 19.4 cm × 4.2 cm × 15.10 cm MLL on the right lateral hip that presented a significant impediment to the patient\'s daily functions. After the failure of conservative management, the patient was treated surgically through a minimal incision debridement procedure, utilizing a wound drain and vacuum-assisted compressional dressing upon closure. Excellent 1-year post-operative outcomes were achieved with no recurrence of the lesion and limited cosmetic evidence of the MLL.
UNASSIGNED: This case highlights the value of a limited incisional debridement procedure for the management of a chronic Morel-Lavellée lesion. When using this technique, surgeons can effectively treat these lesions with promising short-term outcomes and minimal wound scarring.
摘要:
Morel-Lavalle病变(MLL)是一种闭合的脱套损伤,发生在软组织外伤性损伤后,导致形成包封的血清蛋白液体。虽然一些MLLs自发地解决,慢性MLLs存在显著的感染风险,并可能妨碍患者的生活质量。慢性病变需要手术干预以疏散和清除血肿,术后常导致严重的美容损害。
我们记录了右侧髋部有一个大的19.4cm×4.2cm×15.10cm的MLL,严重阻碍了患者的日常功能。保守管理失败后,患者通过最小切口清创术进行手术治疗,闭合时利用伤口引流和真空辅助压缩敷料。术后1年取得了优异的结果,病变无复发,MLL的美容证据有限。
该病例强调了有限的切口清创手术对于治疗慢性莫雷尔-拉维勒病变的价值。当使用这种技术时,外科医生可以有效地治疗这些病变,并获得有希望的短期结果和最小的伤口疤痕。
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