Treatment of Morel-Lavallée leision using double-tube continuous negative pressure drainage
10.3760/cma.j.issn.0253-2352.2012.04.008
- VernacularTitle:双套管持续负压引流治疗闭合性脱套伤的疗效分析
- Author:
Guang YANG
;
Yi ZHU
;
Jingchao WANG
;
Ling YAO
;
Qilin ZHAI
;
Congfeng LUO
- Publication Type:Journal Article
- Keywords:
Soft tissue injuries;
Drainage;
Treatment outcome
- From:
Chinese Journal of Orthopaedics
2012;32(4):339-343
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical effect of double-tube continuous negative pressure drainage in the treatment of Morel-Lavallée leision.Methods We retrospectively analyzed the clinical data of 13 patients with Morel-Lavallée leision,which were diagnosed and treated in our hospital from May 2009 to July 2010.They were 11 women and 2 men,aged from 19 to 57 years (average,32.5 years).All patients underwent operations within 3 days after injury,except for 2 patients whose diagnosis was postponed.The operation was performed with small incision and double-tubes were placed for continuous negative pressure drainage.Double-tubes were not removed until effusion was less than 30 ml/24 hours.The heal was defined as no skin necrosis and subcutaneous hydrops at lesion site,no skin floating and sliding at palpation.Results Double-tubes were removed 4 to 12 days postoperatively (average,6.3 day).All of 13 patients were followed up for an average of 13.7 months (range,10 to 18 months).Skin necrosis occurred in 1 patient.Lesions were healed 4 to 10 weeks postoperatively(average,7.2 weeks).No deep infection or delayed hematogenous infection was found.There were no general systematic complications.Superficial infection at wound site occurred in one patient and healed after wound management.Conclusion Application of double-tube continuous negative pressure drainage is a safe,less invasive,low-cost and effective treatment for Morel-Lavallée leision.
