Radical excision of a complicated transobturator tape.
Biofilm
Infection
Midurethral sling
Sinus
Tape excision
Transobturator tape
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
25
05
2019
accepted:
16
09
2019
pubmed:
19
12
2019
medline:
1
6
2021
entrez:
19
12
2019
Statut:
ppublish
Résumé
In this video, we present the case of a late-detected sinus formation 4 years after a TOT placement. A combined surgical approach (transvaginal and transcutaneous routes) performed by a urogynecologist and an orthopaedic surgeon was chosen to carry out a radical en bloc excision of the sinus tract with the right half of the tape. This combined approach has the advantage of completely removing the biofilm adhered to the surface of the tape and the surrounding tissues, thus making antibiotic therapy more effective. Surgical removal of these microbial commmunities is very important for the resolution of device-related infections. Severe infectious complications of transobturator slings should be managed by a tertiary multidisciplinary team to optimize patient care.
Identifiants
pubmed: 31848658
doi: 10.1007/s00192-019-04127-0
pii: 10.1007/s00192-019-04127-0
doi:
Types de publication
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
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