Is more better? Evaluating the impact of early surgical debridement on Morel-Lavallee lesions

IF 2.7 3区医学 Q1 SURGERY American journal of surgery Pub Date : 2025-02-06 DOI:10.1016/j.amjsurg.2025.116238

Jose E. Barrera , Shuyan Wei , Chioma G. Obinero , Catherine Tang , Emily Cao , Charles Osamor III , Jessica R. Nye , Gabrielle E. Hatton , Mohin Bhadkamkar , Yuewei Wu-Fienberg , Lillian S. Kao , Matthew R. Greives

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Abstract

Introduction

Morel-Lavallee lesions (MLL) are closed degloving injuries, often requiring complex management when infected. We evaluated if early debridement reduces infection risk compared to observation.

Methods

We conducted a single-center retrospective study of MLL in adults from 2012 to 2022, analyzing diagnoses, infection, demographics, and hospital outcomes. Patients undergoing debridement within 48 h were compared to those initially observed.

Results

Of 219 patients, 79 (36 %) underwent initial surgical debridement, and 140 (64 %) were initially observed. The overall infection rate was 9 %. The surgery group had longer hospital stays (14vs7 days, p < 0.001) and more debridements (2vs0, p < 0.001). While infection rate was higher in the surgery group (13.9%vs6.4 %, p = 0.064), this difference was not statistically significant. Multivariate analysis identified higher BMI, hip location, and RBC transfusions as significant infection predictors.

Conclusion

No significant differences in infection rates were found, but several risk factors were identified. Greater awareness and better study designs are needed for improved MLL management guidelines.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.

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