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Updated: Mar 7, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Pyoderma gangrenosum following autologous breast reconstruction
Prateush Singh1, Sami H Tuffaha2, Sanford H Robbins2
1Department of Plastic and Reconstructive surgery, University of Cambridge, Addenbrooke's Hospital, CB2 0QQ, UK.
Abstract:
Pyoderma gangrenosum (PG) is an uncommon disorder characterized by the development of painful cutaneous ulceration, commonly precipitated by dermal injury at surgical sites. It is a diagnostic challenge as it manifests as necrotizing wounds which are commonly misdiagnosed as postoperative wound infection or ischemia. We discuss the clinical features and histopathological findings that allow for rapid identification of PG following autologous breast reconstruction and suggest an algorithm to aid diagnosis.
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