Skip to main content
Top
Published in: European Surgery 6/2013

01-12-2013 | Case Report

Pyoderma gangrenosum after ventral hernia repair: a pitfall and how to avoid it

Authors: Dr. C. Augschöll, C. Nawara, MD, M. Lechner, MD, F. Mayer, MD, S. Reich-Weinberger, MD, T. Jäger, MD, D. Öfner, MD

Published in: European Surgery | Issue 6/2013

Login to get access

Summary

Background

In case of large ventral hernias, the avoidance of a mesh infection caused by a surgical site infection (SSI) is crucial, as surgical options are limited. Pyoderma gangrenosum (PG) is a rare condition that mimics SSI, and is therefore often identified with significant delay. Mechanical alteration is known to maintain the progress of PG, outlining the importance of early discrimination against SSI.

Methods

We report our recent clinical experience with PG in a 73-year-old patient after ventral hernia repair.

Results

We present our experience, based on the case of a 73-year-old woman with postoperative PG.

Conclusions

By a systematic approach, we provide indicators to contribute to an earlier diagnosis and adequate treatment in future cases. To the best of our knowledge, this is the first to-the-point checklist in the published literature so far.
Literature
1.
go back to reference Ruocco E, Sangiuliano S, Gravina AG, et al. Pyoderma gangrenosum: an updated review. J Eur Acad Dermatol Venereol. 2009;23:1008–17.PubMedCrossRef Ruocco E, Sangiuliano S, Gravina AG, et al. Pyoderma gangrenosum: an updated review. J Eur Acad Dermatol Venereol. 2009;23:1008–17.PubMedCrossRef
2.
go back to reference Fritsch P. Dermatologie, Venerologie. Grundlagen, Klinik. Atlas, 2nd edn. Berlin:Springer; 2004. Fritsch P. Dermatologie, Venerologie. Grundlagen, Klinik. Atlas, 2nd edn. Berlin:Springer; 2004.
3.
go back to reference Henseler H, Menke H, Olbrisch RR. Pyoderma gangraenosum–seltene Ursache einer unerwarteten Wundheilungsstörung (Pyoderma gangrenosum: a rare cause of unexpected wound healing delay). Chirurg. 2001;72(10):1196–200.PubMedCrossRef Henseler H, Menke H, Olbrisch RR. Pyoderma gangraenosum–seltene Ursache einer unerwarteten Wundheilungsstörung (Pyoderma gangrenosum: a rare cause of unexpected wound healing delay). Chirurg. 2001;72(10):1196–200.PubMedCrossRef
4.
go back to reference Michel P, Wullstein C, Hopt UT. Pyoderma gangraenosum nach TAPP-Hernioplastik. Eine seltene Differentialdiagnose nekrotisierender Wundinfektionen (Pyoderma gangrenosum after TAPP hernioplasty. A rare differential necrotizing wound infection diagnosis). Chirurg. 2001;72(12):1501–3.PubMedCrossRef Michel P, Wullstein C, Hopt UT. Pyoderma gangraenosum nach TAPP-Hernioplastik. Eine seltene Differentialdiagnose nekrotisierender Wundinfektionen (Pyoderma gangrenosum after TAPP hernioplasty. A rare differential necrotizing wound infection diagnosis). Chirurg. 2001;72(12):1501–3.PubMedCrossRef
8.
go back to reference Berrevoet F, Vanlander A, Sainz-Barriga M, et al. Infected large pore meshes may be salvaged by topical negative pressure therapy. Hernia. 2012;17(1):67–73. doi:10.1007/s10029-012-0969-3. Berrevoet F, Vanlander A, Sainz-Barriga M, et al. Infected large pore meshes may be salvaged by topical negative pressure therapy. Hernia. 2012;17(1):67–73. doi:10.​1007/​s10029-012-0969-3.
Metadata
Title
Pyoderma gangrenosum after ventral hernia repair: a pitfall and how to avoid it
Authors
Dr. C. Augschöll
C. Nawara, MD
M. Lechner, MD
F. Mayer, MD
S. Reich-Weinberger, MD
T. Jäger, MD
D. Öfner, MD
Publication date
01-12-2013
Publisher
Springer Vienna
Published in
European Surgery / Issue 6/2013
Print ISSN: 1682-8631
Electronic ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-013-0234-8

Other articles of this Issue 6/2013

European Surgery 6/2013 Go to the issue