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J Trauma Inj : Journal of Trauma and Injury

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Case Report
Rare complication of skin necrosis after endoscopic debridement and cutaneo-fascial suture for a massive Morel-Lavallée lesion in Korea: a case report
Youngmin Kim, Jayun Cho, Myung Jin Jang, Kang Kook Choi
J Trauma Inj. 2023;36(3):304-309.   Published online August 25, 2023
DOI: https://doi.org/10.20408/jti.2023.0007
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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.
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J Trauma Inj : Journal of Trauma and Injury