ObjectiveTo present the results from early diagnosis and delayed surgical treatment of a cohort of patients who were diagnosed with Morel-Lavallée lesions.MethodsBetween 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.ResultsAll 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.ConclusionWhatever 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.
r e v b r a s o r t o p . 2 0 1 5;5 0(2):148-152 w w w . r b o . o r g . b r Resultados do tratamento cirúrgico da lesão de Morel-Lavallée. Estudo coorte prospectivo ଝ informações sobre o artigo Histórico do artigo: Recebido em 23 de fevereiro de 2014 Aceito em 20 de março de 2014 On-line em 31 de julho de 2014 Palavras chave: Ferimentos e lesões Lesões dos tecidos moles/patologia Lesões dos tecidos moles/cirurgia Traumatismo múltiplo r e s u m o Objetivo: apresentar os resultados do diagnóstico precoce e do tratamento cirúrgico tardio de uma coorte de pacientes diagnosticada com a lesão de Morel-Lavallée (LML). Métodos: de janeiro de 2006 a dezembro de 2013 os autores fizeram o desbridamento cirúrgico tardio da LML, após a delimitação da necrose tecidual local, seguido de fechamento por segunda intenção e/ou enxertos/retalhos. Resultados: todos os pacientes evoluíram com fechamento total da lesão após o desbridamento tardio a granulação da ferida operatória e a(os) sutura primária/retalhos pediculados. Três pacientes (50%) evoluíram com processo infeccioso profundo devido aos sucessivos procedimentos operatórios. Conclusão: sejam quais forem os métodos de tratamento empregados, estes devem ser feitos de maneira radical, sob risco de evolução dos pacientes para septicemia e óbito. © 2014 Sociedade Brasileira de Ortopedia e Traumatologia. Publicado por Elsevier Editora Ltda. Todos os direitos reservados. Results from surgical treatment of Morel-Lavallée lesions: prospective cohort study Keywords: Wounds and injuries Soft-tissue injuries/pathology Soft-tissue injuries/surgery Multiple trauma a b s t r a c t 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.
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