TY - JOUR
TI - Radical excision of a complicated transobturator tape
AU - Grigoriadis, T.
AU - Zacharakis, D.
AU - Kontogeorgakos, V.
AU - Protopapas, A.
AU - Vogiatzis, N.
AU - Athanasiou, S.
JO - INTERNATIONAL UROGYNECOLOGY JOURNAL AND PELVIC FLOOR DYSFUNCTION
PY - 2020
VL - 31
TODO - 4
SP - 831-833
PB - Springer-Verlag
SN - null
TODO - 10.1007/s00192-019-04127-0
TODO - antibiotic agent;  C reactive protein;  vancomycin, abscess;  adductor magnus muscle;  adult;  antibiotic therapy;  Article;  bacterium culture;  bacterium isolation;  biofilm;  case report;  clinical article;  device infection;  female;  gracilis muscle;  human;  human tissue;  in vitro study;  incision;  local anesthesia;  nonhuman;  nuclear magnetic resonance imaging;  orthopedic surgeon;  pain;  patient referral;  physical examination;  priority journal;  protein blood level;  pus;  radical resection;  recurrent infection;  Staphylococcus aureus;  surgical anatomy;  surgical infection;  swelling;  thigh;  urinary tract infection;  urogynecologist;  adverse device effect;  stress incontinence;  suburethral sling;  vagina discharge, Adult;  Female;  Humans;  Suburethral Slings;  Urinary Incontinence, Stress;  Vaginal Discharge
TODO - Aim of the video: In this video, we present the case of a late-detected sinus formation 4 years after a TOT placement. Method: 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. Conclusion: 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. © 2019, The International Urogynecological Association.
ER -