Themos Grigoriadis1, Dimitrios Zacharakis2, Vasileios Kontogeorgakos3, Athanasios Protopapas1, Nikistratos Vogiatzis1, Stavros Athanasiou1. 1. First Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" General Hospital, 80 Vas.Sofias Aven, 11528, Athens, Greece. 2. First Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" General Hospital, 80 Vas.Sofias Aven, 11528, Athens, Greece. dimzac@hotmail.com. 3. First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ATTIKON University Hospital, Athens, Greece.
Abstract
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.
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.
Authors: Charles Nager; Paul Tulikangas; Dennis Miller; Eric Rovner; Howard Goldman Journal: Female Pelvic Med Reconstr Surg Date: 2014 May-Jun Impact factor: 2.091