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

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

Affiliations
  • 1Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea
  • 2Department of Traumatology, Gachon University College of Medicine, Incheon, Korea

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.

Keyword

Morel-Lavallée lesion; Wounds and injuries; Internal degloving injury; Sutures; Surgery; Case reports
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