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韩国一例巨大莫雷尔-拉瓦利埃损伤行内镜清创及皮肤筋膜缝合术后罕见的皮肤坏死并发症：病例报告

Rare complication of skin necrosis after endoscopic debridement and cutaneo-fascial suture for a massive Morel-Lavallée lesion in Korea: a case report.

作者信息

Kim Youngmin, Cho Jayun, Jang Myung Jin, Choi Kang Kook

机构信息

Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea.

Department of Traumatology, Gachon University College of Medicine, Incheon, Korea.

出版信息

J Trauma Inj. 2023 Sep;36(3):304-309. doi: 10.20408/jti.2023.0007. Epub 2023 Aug 25.

DOI:10.20408/jti.2023.0007
PMID:39381690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11309287/
Abstract

A Morel-Lavallée lesion (MLL) is a pathologic fluid collection within an abnormally formed space, resulting from an internal degloving injury between the muscle fascia and subcutaneous fat layer. Due to its resistance to conservative treatments such as drainage or compression dressing, various therapeutic methods have been developed for MLL. However, no standardized guidelines currently exist. Recently, endoscopic debridement and cutaneo-fascial suture (EDCS) has been introduced for the treatment of MLL, particularly for large lesions resistant to conservative approaches. While this procedure is known to be effective, limited reports are available on potential complications. The authors present a case of skin necrosis following EDCS for a massive MLL.

摘要

莫雷尔-拉瓦利损伤（MLL）是一种在异常形成的间隙内的病理性液体积聚，由肌肉筋膜和皮下脂肪层之间的内部脱套伤引起。由于其对引流或加压包扎等保守治疗具有抗性，针对MLL已开发出多种治疗方法。然而，目前尚无标准化指南。最近，内镜清创和皮肤筋膜缝合术（EDCS）已被引入用于治疗MLL，特别是对于对保守方法有抗性的大病变。虽然已知该手术有效，但关于潜在并发症的报道有限。作者报告了一例因巨大MLL行EDCS术后皮肤坏死的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/561437766c60/jti-2023-0007f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/cbd11587998c/jti-2023-0007f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/25ccfc87f65a/jti-2023-0007f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/b624accca9b7/jti-2023-0007f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/da18d7f222b3/jti-2023-0007f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/18cc40473061/jti-2023-0007f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/4e0439ac66c4/jti-2023-0007f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/561437766c60/jti-2023-0007f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/cbd11587998c/jti-2023-0007f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/25ccfc87f65a/jti-2023-0007f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/b624accca9b7/jti-2023-0007f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/da18d7f222b3/jti-2023-0007f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/18cc40473061/jti-2023-0007f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/4e0439ac66c4/jti-2023-0007f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a219/11309287/561437766c60/jti-2023-0007f7.jpg

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[Application of channel screw combined with skin-stretching technique in treatment of pelvic fracture with severe Morel-Lavallée lesion].
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Morel-Lavallée lesion diagnosed 25 years after blunt trauma.钝性创伤25年后诊断出的莫雷尔-拉瓦利埃损伤。
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