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Doxycycline sclerodesis as a treatment option for persistent Morel-Lavallée lesions by Abhishek Bansal; Naval Bhatia; Archana Singh; Ashwani Kumar Singh is a Medicine article available to read on EtoBox.

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## Introduction: Morel-lavallée lesion is a rare cause of subcutaneous swelling, caused by post-traumatic shearing of the hypodermis from the underlying fascia. treatment of such lesions is still not well established. ## Objective: To evaluate the results of conservative treatment for these lesions using doxycycline induced sclerodesis followed by elastic compression bandaging. ## Patients and methods: We treated 16 morel-lavallée lesions between may 2005 and december 2008. these lesions developed in 13 male and 3 female patients (mean age 41 years; range 10-74 years) due to various modes of trauma. the lesion involved the thigh region in 13 patients with trochanteric region, gluteal, lower back, and lower abdominal wall being other regions involved. an area of palpable fluctuance was the most consistent examination finding. treatment was effected by fluid aspiration, doxycycline instillation, and compressive elastic bandaging. healing was defined as the loss of fluctuation with complete absence of fluid on ultrasonography. ## Results: The average duration of the persistence of the lesion was 13 months (range, 6-23 months). most of the lesions had been aspirated previously multiple

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Author

Abhishek Bansal; Naval Bhatia; Archana Singh; Ashwani Kumar Singh

Publisher

Elsevier BV

Published

2013

Language

EN

Field

Medicine (Health Sciences)