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01.12.2013 | Case Report | Ausgabe 6/2013

European Surgery 6/2013

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

Zeitschrift:
European Surgery > Ausgabe 6/2013
Autoren:
Dr. C. Augschöll, MD C. Nawara, MD M. Lechner, MD F. Mayer, MD S. Reich-Weinberger, MD T. Jäger, MD D. Öfner

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.

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