Pyoderma gangrenosum: a challenging complication of bilateral mastopexy

Abstract

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.

Wound Infections in Body Contouring Mastopexy with Breast Reduction After Laparoscopic Adjustable Gastric Bandings: The Role of Smoking

“…Mastopexy and breast reductions are two important operations for body contouring, but the high rate of postoperative wound complications, especially infections, often endangers the final aesthetic outcome [2][3][4][5][6]. The analysis of our patients showed that postoperative infections were present in 35.7% (15/42) of patients, and this incidence was higher than that reported in literature (1-20%) [5,6,[14][15][16] where series have low incidences of smokers.…”

“…In a small series of five massive weight loss patients, Kwei and colleagues reported no wound infections [1]. On the contrary, a case report of Poucke and colleagues described a severe pyoderma gangrenosum infection after bilateral mastopexy [2]. Breast reductions have a high wound complication rate, 15-50% in reported series [3][4][5][6], and numerous studies found a consistent association with different risk factors (shoulder strap groovings, vertical incisions, obesity, older age, smoking history, resection weight, and a history of diabetes mellitus) [6][7][8][9][10][11][12][13].…”

Pioderma gangrenoso en mamoplastía de reducción con pedículo inferior

“…Esta patología generalmente se clasifica en 4 tipos: ulcerativa (clásica), bulosa, pustular, y vegetativa 2 . De estas variantes clínicas, la forma ulcerativa es por lejos la más prevalente 18 . No existe ningún marcador diagnóstico específi-co 4 .…”

Pyoderma gangrenosum et cancer du sein : à propos d’un cas

“…La localisation mammaire du PG pose le problème de la distinction entre PG paranéoplasique ou secondaire au geste chirurgical. Elle a été décrite après chirurgie esthétique mammaire étant alors vraisemblablement secondaire au traumatisme chirurgical [18,19]. Survenant lors d'une reconstruction mammaire après mammectomie pour cancer du sein [20], dans les suites immédiates d'une tumorectomie pour cancer invasif ou in situ du sein [9,14,[21][22][23], le PG peut trouver son origine dans le traumatisme chirurgical mais aussi l'évolution du cancer mammaire : notre observation en est l'illustration puisque la patiente présentait une récidive controlatérale à sept mois d'un cancer du sein gauche, traitée par tumorectomie avec résection non in sano, alors que la mammectomie bilatérale avec reconstruction musculoprothétique n'a pas été grevée de complications cutanées.…”