PMID: 20632510Jul 17, 2010Paper

Surgical treatment of Morel-Lavallée lesion with perineal lacerations

Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
Yueliang ZhuHongjin Zhao

Abstract

To investigate the surgical treatments of Morel-Lavallée lesion with perineal lacerations. From March 2003 to June 2009, 18 cases of Morel-Lavallée lesion with perineal lacerations were treated. There were 16 males and 2 females with a median age of 28.5 years (range, 3-54 years). The time between the injury and hospitalization ranged from 3 hours to 7 days. The lesions were in the greater trochanter (2 cases), the gluteal (2 cases), the lumbar flank (1 case), the lumbar sacrum (3 cases), the pelvic girdle (7 cases), and the hip (3 cases). All the cases were complicated with perineal lacerations, which included male genitalia defect (2 cases), mangled genitalia (2 cases), and genitalia injuries with anal injuries (14 cases). The main treatments included repeated debridement, external fixation of fractures, vacuum sealing drainage, skin grafting, reconstruction of genitalia, and anoplasty. Three cases died after operation. Two cases died of multiple system organ failure, 1 case died of septic shock. Three cases were amputated and the causes were mangled extremities (2 cases) and osteofascial compartment syndrome (1 case). In 15 survivors, the average time of operations was 3.6 times (range, 3-8 times) and the average hospitaliza...Continue Reading

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