Dale A Classen1, Chris Thomson. 1. Division of Plastic Surgery, Royal University Hospital, Saskatoon, Saskatchewan, Canada.
Abstract
BACKGROUND: Pyoderma gangrenosum is a necrotizing skin disorder of unknown cause. Treatment of pyoderma gangrenosum usually entails medical treatments. Surgical treatment is generally not successful. OBJECTIVE: Two patients with pyoderma gangrenosum of their lower extremities are presented. The application and utility of microvascular free flap coverage of their ulcers is discussed. RESULTS: Both patients achieved successful healing with microvascular free flaps. CONCLUSION: Microvascular free flap coverage may be a surgical treatment option for selected patients with pyoderma gangrenosum.
BACKGROUND:Pyoderma gangrenosum is a necrotizing skin disorder of unknown cause. Treatment of pyoderma gangrenosum usually entails medical treatments. Surgical treatment is generally not successful. OBJECTIVE: Two patients with pyoderma gangrenosum of their lower extremities are presented. The application and utility of microvascular free flap coverage of their ulcers is discussed. RESULTS: Both patients achieved successful healing with microvascular free flaps. CONCLUSION: Microvascular free flap coverage may be a surgical treatment option for selected patients with pyoderma gangrenosum.