Abstract
We report on a case of a suburethral erosion of transobturator tape tracking into the right thigh with abscess formation 20 months from surgery resulting in necrotizing fasciitis. A 64-year-old woman presented with new onset of severe right thigh pain. Physical exam was concerning for a right thigh abscess and she was admitted to general surgery for evaluation. Gynecology was consulted secondary to a complaint of foul vaginal discharge. The patient was noted to have a vaginal mass on the anterior vaginal wall. A computed tomography scan showed a large right medial thigh abscess. The patient was taken for emergency exploratory surgery where an ObTape® (Mentor, Santa Barbara, CA, USA) TOT was found eroding through the anterior vaginal wall, extending into the thigh abscess. During removal of the ObTape® from her thigh, the entire gracilis muscle was removed due to necrotizing fasciitis and extensive tissue debridement was performed. A wound vac was placed and the patient had an uneventful recovery.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 125-127 |
| Number of pages | 3 |
| Journal | International Urogynecology Journal and Pelvic Floor Dysfunction |
| Volume | 21 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2010 |
| Externally published | Yes |
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Keywords
- Mentor Ob Tape®
- Midurethral sling
- Necrotizing fasciitis
- TOT erosion
- Transobturator tape
ASJC Scopus subject areas
- Urology
- Obstetrics and Gynecology
Cite this
Small-pore polypropylene slings : Still out there. / Lowery, William J.; Dooley, Yashika; Kost, Edward R.
In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 21, No. 1, 01.2010, p. 125-127.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Small-pore polypropylene slings
T2 - Still out there
AU - Lowery, William J.
AU - Dooley, Yashika
AU - Kost, Edward R
PY - 2010/1
Y1 - 2010/1
N2 - We report on a case of a suburethral erosion of transobturator tape tracking into the right thigh with abscess formation 20 months from surgery resulting in necrotizing fasciitis. A 64-year-old woman presented with new onset of severe right thigh pain. Physical exam was concerning for a right thigh abscess and she was admitted to general surgery for evaluation. Gynecology was consulted secondary to a complaint of foul vaginal discharge. The patient was noted to have a vaginal mass on the anterior vaginal wall. A computed tomography scan showed a large right medial thigh abscess. The patient was taken for emergency exploratory surgery where an ObTape® (Mentor, Santa Barbara, CA, USA) TOT was found eroding through the anterior vaginal wall, extending into the thigh abscess. During removal of the ObTape® from her thigh, the entire gracilis muscle was removed due to necrotizing fasciitis and extensive tissue debridement was performed. A wound vac was placed and the patient had an uneventful recovery.
AB - We report on a case of a suburethral erosion of transobturator tape tracking into the right thigh with abscess formation 20 months from surgery resulting in necrotizing fasciitis. A 64-year-old woman presented with new onset of severe right thigh pain. Physical exam was concerning for a right thigh abscess and she was admitted to general surgery for evaluation. Gynecology was consulted secondary to a complaint of foul vaginal discharge. The patient was noted to have a vaginal mass on the anterior vaginal wall. A computed tomography scan showed a large right medial thigh abscess. The patient was taken for emergency exploratory surgery where an ObTape® (Mentor, Santa Barbara, CA, USA) TOT was found eroding through the anterior vaginal wall, extending into the thigh abscess. During removal of the ObTape® from her thigh, the entire gracilis muscle was removed due to necrotizing fasciitis and extensive tissue debridement was performed. A wound vac was placed and the patient had an uneventful recovery.
KW - Mentor Ob Tape®
KW - Midurethral sling
KW - Necrotizing fasciitis
KW - TOT erosion
KW - Transobturator tape
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UR - http://www.scopus.com/inward/citedby.url?scp=74049131296&partnerID=8YFLogxK
U2 - 10.1007/s00192-009-0935-5
DO - 10.1007/s00192-009-0935-5
M3 - Article
C2 - 19533004
AN - SCOPUS:74049131296
VL - 21
SP - 125
EP - 127
JO - International Urogynecology Journal and Pelvic Floor Dysfunction
JF - International Urogynecology Journal and Pelvic Floor Dysfunction
SN - 0937-3462
IS - 1
ER -