Results from surgical treatment of Morel-Lavallée lesions: prospective cohort study.

Autor: Palacio EP; Faculdade de Medicina de Marília, Marília, SP, Brazil., Di Stasi GG; Faculdade de Medicina de Marília, Marília, SP, Brazil., Lima EH; Faculdade de Medicina de Marília, Marília, SP, Brazil., Mizobuchi RR; Faculdade de Medicina de Marília, Marília, SP, Brazil., Júnior AD; Faculdade de Medicina de Marília, Marília, SP, Brazil., Galbiatti JA; Faculdade de Medicina de Marília, Marília, SP, Brazil.
Jazyk: angličtina
Zdroj: Revista brasileira de ortopedia [Rev Bras Ortop] 2015 Feb 28; Vol. 50 (2), pp. 148-52. Date of Electronic Publication: 2015 Feb 28 (Print Publication: 2015).
DOI: 10.1016/j.rboe.2015.02.011
Abstrakt: Objective: To present the results from early diagnosis and delayed surgical treatment of a cohort of patients who were diagnosed with Morel-Lavallée lesions.
Methods: Between January 2006 and December 2013, we performed delayed surgical debridement on Morel-Lavallée lesions, after delimitation of the local tissue necrosis, followed by closure through second intention and/or use of grafts/flaps.
Results: All the patients evolved with complete closure of the lesion after the delayed debridement, granulation of the operative wound and primary suturing or construction of pedunculated flaps. Three patients (50%) evolved with deep infectious processes due to the successive operative procedures.
Conclusion: Whatever the treatment methods used are, they should be performed in a radical manner. If not, the patient will be at risk of evolution to septicemia and death.
Databáze: MEDLINE