A minimally invasive incision and loop drainage technique for the treatment of lower limb Morel-Lavallée lesions: Nose ring drainage technique

Ning, Xianghong; Jia, Liping; Du, Gangqiang; Jiang, Shengyuan; Gong, Zhihao; Song, K X; Wang, Zhigang; Zhang, Kai

doi:10.1016/j.injury.2019.12.014

Cited by 9 publications

(9 citation statements)

References 21 publications

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“…In the electronic imaging technology, Americans invented the eight pole astigmatism device and then gradually invented the spherical aberration correction device, monochromator, and other parts which helped to improve the resolution of the image. In terms of image recording media, the traditional photosensitive film mode had been replaced by the CDD camera mode, and more advanced CMOS cameras had been gradually popularized and used [ 17 ]. With the continuous development and deepening of these new technologies, the current highest resolution of transmission electron microscopy and scanning electron microscopy had reached the high level of 0.07 nm and 0.4 nm, respectively [ 18 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Postoperative Nursing and Functional Rehabilitation of Ultrasound Diagnosis of Lower Rotator Cuff Injury

Hou

2022

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In order to explore the postoperative nursing effect and functional rehabilitation of rotator cuff repair under ultrasound diagnosis, a method of nursing and rehabilitation functional training for athletes’ wrist injury under the assistance of microscopic B-ultrasound was proposed. This study retrospectively analyzed the therapeutic effect of tendon anastomosis in 237 patients with wrist tendon injury, adopted nursing measures such as health education and functional exercise, and observed its clinical effect. The results showed that after 3-6 months of follow-up, all patients had satisfactory recovery of tendon function. Of these, 132 patients recovered well. 84 patients recovered well. The excellent and good rate of patients was 91%. Ultrasound diagnosis of rotator cuff repair combined with functional exercise promotes good recovery of shoulder joint function in patients.

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Section: Literature Reviewmentioning

confidence: 99%

Postoperative Nursing and Functional Rehabilitation of Ultrasound Diagnosis of Lower Rotator Cuff Injury

Hou

2022

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“…Li et al demonstrated a minimally invasive incision and a nose ring drainage technique for treating lower limb MLLs. All patients recovered without complications and an excellent cosmetic effect was obtained (20). The endoscopic technique is also recommended as a minimally invasive therapy, which provides a distinct internal view of the lesion, allowing removal of serous effusion, necrotic adipose tissue, blood, and false bursa in the cavity.…”

Section: Discussionmentioning

confidence: 94%

The treatment of a Morel-Lavallée lesion of the thigh with incision and drainage along with tissue debridement and a surgically placed drain: A case report and literature review

Chen²,

Ma³

et al. 2023

Front. Surg.

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BackgroundA Morel-Lavallée lesion (MLL) is a rare closed degloving injury that usually occurs around the hips and is associated with pelvic fractures after high-energy trauma, which is commonly overshadowed by other severe post-traumatic manifestations. An isolated MLL, mostly caused by low-energy violence, is even rarer. Thus, the rates of misdiagnosis and missed diagnosis are often high. In this case report and literature review, we review the pathophysiology, clinical manifestations, imaging data, and treatment of this lesion to increase awareness of this rare disease.Case reportWe report the case of an isolated MLL in the right thigh caused by trauma, which happened to be one of missed diagnosis both at the initial visit and at the return visit of the patient, with a significant sign of a mass on MRI. Given the size of the lesion, open debridement and irrigation were adopted to treat the lesion, and the patient recovered well post-operatively.ConclusionYoung surgeons should pay attention to the MLL with sufficient recognization to avoid missed diagnosis and misdiagnosis. Comprehensive physical examination and imaging data play important roles in the diagnosis of MLL. In the early stages of this injury, a detailed history review combined with physical examination and MRI, can reduce the rates of missed diagnosis and misdiagnosis. The choice of the therapeutic scheme depends on the size and severity of the lesion. For an isolated MLL, compared with conservative treatments, we suggest that incision and drainage, along with tissue debridement and a surgically placed drain, will reduce the rates of infection and recurrence.

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“…Catheters and drainage tubes may be left externalized, or connected to closed drainage systems and placed to gravity, bulb, or wall suction. 32–35 Compression garments serve as an adjunct after aspiration to prevent re-accumulation of fluid. 17…”

Section: Discussionmentioning

confidence: 99%

Practical Review of the Comprehensive Management of Morel-Lavallée Lesions

Molina

Ghazoul

Janis

2021

Plastic and Reconstructive Surgery - Global Open

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Background: Morel-Lavallée lesions have been described in the literature since the mid-19th century, yet contemporary clinical management continues to be challenging and remains variable. These closed degloving injuries are usually seen in the setting of blunt trauma and are due to shearing forces, creating a space for the collection of hemolymphatic fluid. These fluid collections can be persistent despite conservative treatment attempts and can require staged surgical interventions. Methods: A literature search of peer-reviewed articles pertaining to Morel-Lavallée lesions was performed. Articles relating to the pathophysiology, clinical presentation, diagnosis, treatment, and management of complications of Morel-Lavallée lesions were included to formulate recommendations for clinical management. Results: Fifty-six relevant articles were included in the review. Recognition of these lesions may be delayed and the use of imaging is important in diagnosis. Initial attempts at conservative management may be appropriate for smaller, uncomplicated Morel-Lavallée lesions. Surgical interventions such as open debridement, techniques to close dead space, negative pressure wound therapy, and skin grafts or flaps are critical to managing complex or recurring lesions. An algorithm for the treatment of Morel-Lavallée lesions is proposed based on review of the literature. Conclusions: Plastic and reconstructive surgeons are frequently involved in more complex Morel-Lavallée lesions such as those exhibiting delayed healing or super-infection. The skillset needed for successful management of patients with Morel-Lavallée lesions is well within the armamentarium of plastic and reconstructive surgeons.

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A minimally invasive incision and loop drainage technique for the treatment of lower limb Morel-Lavallée lesions: Nose ring drainage technique

Cited by 9 publications

References 21 publications

Postoperative Nursing and Functional Rehabilitation of Ultrasound Diagnosis of Lower Rotator Cuff Injury

Postoperative Nursing and Functional Rehabilitation of Ultrasound Diagnosis of Lower Rotator Cuff Injury

The treatment of a Morel-Lavallée lesion of the thigh with incision and drainage along with tissue debridement and a surgically placed drain: A case report and literature review

Practical Review of the Comprehensive Management of Morel-Lavallée Lesions

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