engleski

Surgical management of persistent Morel-Lavallee lesions associated with closed pelvic ring injury

Introduction: Closed internal degloving injury is a significant soft-tissue injury associated with a pelvic trauma in which the subcutaneous tissue is torn away from the underlying fascia, creating a cavity tilled with hematoma and liquefied fat. Materials and methods: We had a two patients with a Morel-Lavallee lesions associated with a closed pelvic ring trauma. They had large and painful subcutaneous cavity formation filled with serosanguinous fluid. Results: After sequential aspirations of the large quantities of seroma, we decided to open the cyst, irrigate, debride free necrotic tissue and to put the suction drain inside the cyst. As the drainage was constant over the next 2 weeks, we explored the cavity and performed capsulotomy with several "marionette" sutures and Penrose drain for 48 h with adequate result. Pelvic ring trauma was treated conservatively in both patients. Conclusion: Obliteration of dead space with capsulotomy and "marionette" sutures appears to be effective in treatment of persistent Morel-Lavallee lesions. Disclosure: No significant relationships.

Morel-Lavallee lesions ; pelvic ring injury

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