Pyoderma gangrenosum: a challenging complication of bilateral mastopexy

A case of pyoderma gangrenosum progressively developing after bilateral mastopexy at the surgical site is described. The described case was successfully treated with corticosteroids, the application of the dermal regeneration template Integra® and autologous skin grafts. This approach was able to save the patient's life and to generate a high‐quality aesthetical outcome. The article reported the case, reviewed the literature of pyoderma gangrenosum related to mastopexy or augmentation mammoplasty and discussed the use of a dermal regeneration template to optimise aesthetical results after reconstructive surgery.

[1]  P. Huguet,et al.  Burned breast reconstructive surgery with Integra dermal regeneration template. , 2003, British journal of plastic surgery.

[2]  A. Tavakkolizadeh,et al.  Necrotizing ulceration after breast reduction. , 2003, Journal of the Royal Society of Medicine.

[3]  D. Larson,et al.  Pyoderma gangrenosum after reduction mammaplasty in an otherwise healthy patient. , 2002, Annals of plastic surgery.

[4]  C. Ryan,et al.  Use of Integra artificial skin is associated with decreased length of stay for severely injured adult burn survivors. , 2002, The Journal of burn care & rehabilitation.

[5]  F. Laurent,et al.  Pyoderma gangrenosum familial aprs chirurgie de rduction mammaire: propos d'un cas clinique , 2002 .

[6]  R. Martin,et al.  A guide to biological skin substitutes. , 2002, British journal of plastic surgery.

[7]  H. Schöfer,et al.  Successful treatment of postoperative pyoderma gangrenosum with cyclosporin , 2002, Journal of the European Academy of Dermatology and Venereology : JEADV.

[8]  U. Wollina Clinical Management of Pyoderma Gangrenosum , 2002, American journal of clinical dermatology.

[9]  P. Pellerin,et al.  [Familial pyoderma gangrenosum following a mammoplasty reduction: a case report]. , 2002, Annales de chirurgie plastique et esthetique.

[10]  S. Challacombe,et al.  Pyoderma gangrenosum associated with severe oropharyngeal involvement and IgA paraproteinaemia , 2001, The British journal of dermatology.

[11]  N. Moiemen,et al.  Pyoderma gangrenosum following breast reconstruction. , 2000, British journal of plastic surgery.

[12]  P. W. Bowers,et al.  Pyoderma gangrenosum complicating bilateral mammaplasty. , 2000, British journal of plastic surgery.

[13]  F. Camacho-Martínez,et al.  Pyoderma gangrenosum after augmentation mammoplasty. , 1999, Acta dermato-venereologica.

[14]  A. Aliaga,et al.  Pyoderma gangrenosum: unusual complication following mammoplasty reduction. , 1998, International journal of dermatology.

[15]  W. Su,et al.  Pyoderma gangrenosum: classification and management. , 1996, Journal of the American Academy of Dermatology.

[16]  K. Guntupalli,et al.  PYODERMA GANGRENOSUM TREATED WITH HYPERBARIC OXYGEN THERAPY , 1992, International journal of dermatology.

[17]  P. Schaller,et al.  [Supplementary comment to the contribution by L. Gruhl et al.: "Pyoderma gangraenosum--a rare complication after breast reduction". A further case of pyoderma gangraenosum after breast reduction]. , 1992, Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V....

[18]  A. Grabosch,et al.  [Pyoderma gangraenosum--a rare complication after breast reduction]. , 1992, Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V....

[19]  Clugston Pa,et al.  Pyoderma gangrenosum after reduction mammoplasty. , 1991 .

[20]  P. Clugston,et al.  Pyoderma gangrenosum after reduction mammoplasty. , 1991, Canadian journal of surgery. Journal canadien de chirurgie.

[21]  D. Jc,et al.  Pyoderma gangrenosum: skin grafting after preparation with hyperbaric oxygen. , 1987 .

[22]  T. K. Hunt,et al.  Pyoderma Gangrenosum: Skin Grafting after Preparation with Hyperbaric Oxygen , 1987, Plastic and reconstructive surgery.

[23]  M. Heng Hyperbaric oxygen therapy for pyoderma gangrenosum. , 1984, Australian and New Zealand journal of medicine.

[24]  W. H. Hulet,et al.  Hyperbaric oxygen treatment of pyoderma gangrenosum. , 1978, Archives of Dermatology.

[25]  J. Crouch,et al.  Hyperbaric oxygen therapy for pyoderma gangrenosum. , 1974, Archives of dermatology.

[26]  G. Winter,et al.  Effect of Air Exposure and Occlusion on Experimental Human Skin Wounds , 1963, Nature.

[27]  G. Winter,et al.  Formation of the Scab and the Rate of Epithelization of Superficial Wounds in the Skin of the Young Domestic Pig , 1962, Nature.

[28]  L. Brunsting,et al.  PYODERMA (ECHTHYMA) GANGRENOSUM: CLINICAL AND EXPERIMENTAL OBSERVATIONS IN FIVE CASES OCCURRING IN ADULTS , 1930 .