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

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 th...

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Detalles Bibliográficos
Autores principales: Palacio, Evandro Pereira, Di Stasi, Gabriel Guimarães, Lima, Ewerton Henrique Rodrigues Teixeira, Mizobuchi, Roberto Ryuiti, Júnior, Alcides Durigam, Galbiatti, José Antônio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4519623/
https://www.ncbi.nlm.nih.gov/pubmed/26229908
http://dx.doi.org/10.1016/j.rboe.2015.02.011
Descripción
Sumario: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.