| Surgical treatment of a Morel-Lavallée lesion of the distal thigh with the use of lymphatic mapping and fibrin sealant. | |
| | |
MedLine Citation:
|
PMID: 22552264 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
INTRODUCTION: A Morel-Lavallée lesion can occur after a closed degloving injury. It is a persistent seroma that may be resistant to conservative methods of treatment such as percutaneous drainage and compression therapy. We present a novel, successful method of surgical treatment. CASE REPORT: A 70 year-old lady developed a 30 × 15 cm rapidly enlarging right medial thigh/knee swelling after being hit by a car. Conservative treatments failed, sarcoma was excluded, and the diagnosis confirmed, by MR imaging and cytology prior to referral. The lesion was excised, and blue dye lymphatic mapping used to identify and ligate feeding lymphatic vessels. The cavity was then closed using fibrin sealant spray and resorbable quilting sutures. A pressure garment was fitted. RESULT: The wound healed without complication, with no recurrence at six months. The patient returned to normal activities without pressure garments. CONCLUSION: This method provides a novel, successful approach to the surgical treatment of a chronic Morel-Lavallée lesion. |
| | |
Authors:
|
Rebecca M Jones; Andrew M Hart |
Related Documents
:
|
22858394 - Recurrent pyogenic granuloma. 7757284 - Retarded bone formation in gm1-gangliosidosis: a study of the infantile form and compar... 22766364 - Pancreatic resections for cystic neoplasms: from the surgeon's presumption to the patho... 17977204 - Discal cysts. 1468334 - Aspiration biopsy cytology of malignant papillary breast neoplasms. 13787014 - Development and germination of the azotobacter cyst. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-5-1 |
Journal Detail:
|
Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: - ISSN: 1878-0539 ISO Abbreviation: - Publication Date: 2012 May |
Date Detail:
|
Created Date: 2012-5-3 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
|
Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Sentinel lymph node biopsy in thick malignant melanoma: A 10-year single unit experience.
Next Document: Safety, pharmacokinetics and pharmacodynamics of multiple ascending doses of R1663, an oral factor X...