• Rebecca M Jones and Andrew M Hart.
• Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK. rebecca.jones@doctors.org.uk
• J Plast Reconstr Aesthet Surg. 2012 Nov 1; 65 (11): 1589-91.

IntroductionA Morel-Lavallée lesion can occur after a closed degloving injury. It is a persistent seroma that may be resistant to conservative methods of treatment such as percutaneous drainage and compression therapy. We present a novel, successful method of surgical treatment.Case ReportA 70 year-old lady developed a 30 × 15 cm rapidly enlarging right medial thigh/knee swelling after being hit by a car. Conservative treatments failed, sarcoma was excluded, and the diagnosis confirmed, by MR imaging and cytology prior to referral. The lesion was excised, and blue dye lymphatic mapping used to identify and ligate feeding lymphatic vessels. The cavity was then closed using fibrin sealant spray and resorbable quilting sutures. A pressure garment was fitted.ResultThe wound healed without complication, with no recurrence at six months. The patient returned to normal activities without pressure garments.ConclusionThis method provides a novel, successful approach to the surgical treatment of a chronic Morel-Lavallée lesion.Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

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