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Radical excision of a complicated transobturator tape

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International Urogynecology Journal Aims and scope Submit manuscript

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.

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Author information

Authors and Affiliations

  1. First Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, “Alexandra” General Hospital, 80 Vas.Sofias Aven, 11528, Athens, Greece

    Themos Grigoriadis, Dimitrios Zacharakis, Athanasios Protopapas, Nikistratos Vogiatzis & Stavros Athanasiou

  2. First Department of Orthopaedic Surgery, National and Kapodistrian University of Athens, ATTIKON University Hospital, Athens, Greece

    Vasileios Kontogeorgakos

Authors
  1. Themos Grigoriadis
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  2. Dimitrios Zacharakis
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  3. Vasileios Kontogeorgakos
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  4. Athanasios Protopapas
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  5. Nikistratos Vogiatzis
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  6. Stavros Athanasiou
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Corresponding author

Correspondence to Dimitrios Zacharakis.

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Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

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Grigoriadis, T., Zacharakis, D., Kontogeorgakos, V. et al. Radical excision of a complicated transobturator tape. Int Urogynecol J 31, 831–833 (2020). https://doi.org/10.1007/s00192-019-04127-0

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  • DOI: https://doi.org/10.1007/s00192-019-04127-0

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