Advertisement

Topics

Operative treatment of the peripelvic Morel-Lavallée lesion.

06:00 EST 18th February 2011 | BioPortfolio

Summary of "Operative treatment of the peripelvic Morel-Lavallée lesion."


OBJECTIVE:
Evacuation of hematoma, hemostasis, reduction of dead space by vacuum systems for minimization of secondary complications, such as full skin necrosis, deep infections, and secondary wound closure.
INDICATIONS:
Morel-Lavallée lesion (MLL), all larger epifascial hematomas.
CONTRAINDICATIONS:
None. SURGICAL
TECHNIQUE:
Central longitudinal incision, detection of the extent of the hematoma, transection of the full length of the lesion, hemostasis, debridement, application of vacuum systems, secondary wound closure, or splitskin coverage. POSTOPERATIVE
MANAGEMENT:
Vacuum therapy must be continued until secretions are less than 30 ml/24 hours. Negative bacterial culture before wound closure is imperative. Daily change of wound dressings, frequent control of inflammation parameters. Weight bearing until consolidation of soft tissue.
RESULTS:
Operative treatment of the MLL with vacuum systems is a relatively new concept, and results on larger collectives have not been published yet. A total of 8 patients in our hospital underwent vacuum therapy after sustaining a MLL, 5 of them with concomitant instability of the pelvic ring. Emergency stabilization and initiation of vacuum therapy were performed on the day of admission. Three patients had initially positive bacterial colonialization. Duration of vacuum therapy was 8.5 days (range 4-14 days). Dressings were changed every 2.6 days (range 1-4 days). While 6 wounds could be closed secondarily, 2 needed split skin coverage. Complications were not observed. Vacuum therapy facilitates wound management and helps reduce bacterial colonialization. It has also been proved to have a beneficial effect on qualitative and quantitative granulation.

Affiliation

Klinik für Unfall-, Hand und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Kirrbergerstr. 1, 66421, Homburg/Saar, Deutschland, daniel.koehler@uks.eu.

Journal Details

This article was published in the following journal.

Name: Operative Orthopadie und Traumatologie
ISSN: 1439-0981
Pages:

Links

DeepDyve research library

PubMed Articles [20485 Associated PubMed Articles listed on BioPortfolio]

Endoscopic surgical management of a large Morel-Lavallée lesion.

The Morel-Lavallée lesion is a closed degloving injury that usually occurs following high-energy trauma. We present a case demonstrating endoscopic management of this lesion. A 44-year-old man fell f...

A Rare Presentation of a Morel-Lavallee Lesion of the Lower Leg Successfully Treated With Ultrasound-Guided Aspiration.

A Morel-Lavallee lesion (MLL) is a relatively rare condition that is caused by a traumatic shearing force. This force leads to a closed degloving injury of the subcutaneous tissue and fascia that crea...

Non-Operative Control of Cavitated Approximal Caries Lesions in Primary Molars: A Prospective Evaluation of Cases.

The effect of non-operative caries control at cavity level is often questioned. This prospective study of cases aims to evaluate the suitability of non-operative treatment of active cavitated approxim...

Posterior Shoulder Instability: Prospective Non-Randomised Comparison of Operative and Non-Operative Treatment in 51 Patients.

The management of posterior shoulder instability remains controversial. Consequently, for a symposium on this topic, the French Arthroscopy Society (SFA) conducted a prospective multicentre study comp...

General Health Status after Non-operative versus Operative Treatment for Acute, Complete Acromio-clavicular Joint Dislocation: Results of a Multicenter, Randomized Clinical Trial.

To assess the general health status of patients following non-operative (Non-op) versus operative (OP) treatment for acromioclavicular (AC) joint dislocations.

Clinical Trials [2765 Associated Clinical Trials listed on BioPortfolio]

Operative Versus Non Operative Treatment for Unstable Ankle Fractures

The purpose of the study is to compare functional outcomes and recovery following surgical and non surgical treatment of potentially unstable , isolated fibula fractures. Secondary objecti...

MR Guided Focused Ultrasound Surgery in the Treatment of Breast Fibroadenomas

The primary objective of this pivotal study is to evaluate the safety and efficacy of FUS treatment of breast fibroadenomas. Our hypothesis is that FUS lesion ablation of a fibroadenoma wi...

Conservative Treatment Versus Operative Plate Fixation for Acute, Displaced Fractures of the Distal Clavicle

This is a multicentre randomized clinical trial prospectively comparing operative treatment versus conservative (nonoperative) care in the management of displaced distal (Type II) clavicle...

Ultrasound-based Diagnostic Model for Differentiating Malignant Breast Lesion From Benign Lesion

This study proposed to construct an ultrasound-based diagnostic model for Differentiating Malignant Breast Lesion From Benign Lesion. This study contains both retrospective and prospective...

Short Spot Versus Long Lesion Stenting as Best Treatment for Extensive Occlusive SFA Disease

Since the length of lesion seems to be negatively associated with stent patency due to restenosis, it is thought that the efficacy of treatment in patients with multiple (> 1) short (focal...

Medical and Biotech [MESH] Definitions

A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.

Intraoperative computer-assisted 3D navigation and guidance system generally used in neurosurgery for tracking surgical tools and localize them with respect to the patient's 3D anatomy. The pre-operative diagnostic scan is used as a reference and is transferred onto the operative field during surgery.

Operative procedures for the treatment of vascular disorders.

Lesion on the surface of the skin of the foot, usually accompanied by inflammation. The lesion may become infected or necrotic and is frequently associated with diabetes or leprosy.

Producing a lesion in the posteroventral portion of the medial GLOBUS PALLIDUS to treat PARKINSON DISEASE and other extrapyramidal disorders. The placement of the lesion is aided by STEREOTACTIC TECHNIQUES and imaging procedures.

Quick Search
Advertisement
 


DeepDyve research library

Relevant Topics

Dermatology
Acne Dermatology Eczema Psoriasis Wound Care Dermatology is the medical specialty concerned with the diagnosis and treatment of skin disorders (Oxford Medical Dictionary). As well as studying how the skin works, dermatology covers...

Wound management
Anything that breaks the skin is a wound because when the skin is broken, there's a risk of germs getting into the body and causing an infection. Follow and track Wound Care News on BioPortfolio: Wound Car...