nach oben

Erschienen in:

01.12.2013 | Case Report

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

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

Erschienen in: European Surgery | Ausgabe 6/2013

Einloggen, um Zugang zu erhalten

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.

Vorheriger Artikel Altemeier’s procedure for complete rectal prolapse in elderly and frail patients: should we be afraid of?

Nächster Artikel Intraoperative pharmacologic increase of systemic blood pressure to detect the source of hemorrhage in thyroid surgery and reoperation: a case report

Ruocco E, Sangiuliano S, Gravina AG, et al. Pyoderma gangrenosum: an updated review. J Eur Acad Dermatol Venereol. 2009;23:1008–17.PubMedCrossRef

Fritsch P. Dermatologie, Venerologie. Grundlagen, Klinik. Atlas, 2nd edn. Berlin:Springer; 2004.

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

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

Singh-Ranger D, Taneja T, Sroden P, et al. A rare complication following laparoscopic TEP repair: case report and discussion of the literature. Hernia. 2007;11(5):453–6. doi:10.1007/s10029-007-0206-7.PubMedCrossRef

Strauss A, Storim J, Germer C, et al. Pyoderma gangraenosum as rare complication of incisional hernia repair in a patient with Werlhof’s disease. Hernia. 2011;15(6):709–12. doi:10.1007/s10029-010-0712-x.PubMedCrossRef

Muysoms FE, Miserez M, Berrevoet F, et al. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13(4):407–14. doi:10.1007/s10029-009-0518-x.PubMedCrossRef

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.

Kurmann A, Visth E, Candinas D, et al. Long-term follow-up of open and laparoscopic repair of large incisional hernias. World J Surg. 2011;35(2):297–301. doi:10.1007/s00268-010-0874-9.PubMedCrossRef

10.

Trunzo JA, Ponsky JL, Jin J, et al. A novel approach for salvaging infected prosthetic mesh after ventral hernia repair. Hernia. 2009;13(5):545–9. doi:10.1007/s10029-009-0470-9.PubMedCrossRef

Titel: Pyoderma gangrenosum after ventral hernia repair: a pitfall and how to avoid it
verfasst von: Dr. C. Augschöll
C. Nawara, MD
M. Lechner, MD
F. Mayer, MD
S. Reich-Weinberger, MD
T. Jäger, MD
D. Öfner, MD
Publikationsdatum: 01.12.2013
Verlag: Springer Vienna
Erschienen in: European Surgery / Ausgabe 6/2013
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI: https://doi.org/10.1007/s10353-013-0234-8

Springer Medizin Österreich

Summary

Background

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2013

Intraoperative pharmacologic increase of systemic blood pressure to detect the source of hemorrhage in thyroid surgery and reoperation: a case report

Altemeier’s procedure for complete rectal prolapse in elderly and frail patients: should we be afraid of?

The effect of harmonic scalpel, electrocautery, and scalpel use on early wound complications after modified radical mastectomy

The 125-year anniversary of the first sphincter-saving resection of a rectal cancer by Julius von Hochenegg in Vienna

One hundred double adenomas in primary hyperparathyroidism

Rainbow country surgery reggae seeds smile