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Necrotizing fasciitis after tension-free vaginal tape (TVT) placement

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Abstract

A 62-year-old homemaker underwent an uneventful TVT (tension-free vaginal tape) procedure. Eleven days postoperatively she presented to the Emergency Department with agonizing low abdominal pain, elbow pain, fever, and drainage from her suprapubic puncture sites. Her evaluation was consistent with a diagnosis of necrotizing fasciitis and she was started on antibiotics and taken to surgery for exploration and debridement, where the diagnosis was confirmed. This is the first report of necrotizing fasciitis following TVT placement.

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References

  1. Ulmsten U, Petros P (1995) Intravginal slingplasty (IVS): An ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29:75–82

    CAS  PubMed  Google Scholar 

  2. Conversation with Martin Weisberg, MD, FACOG, Director of Medical Affairs, Gynecare, a division of Ethicon, Somerville, New Jersey, 24 September 2002

  3. Liapis A, Bakas P, Creatsas G (2002) Burch colposuspension and tension-free vaginal tape in the management of stress urinary incontinence in women. Eur Urol 41:469–473

    Article  CAS  PubMed  Google Scholar 

  4. Abouassaly R, Steinberg J, Corcos J (2002) Complications of tension-free vaginal tape surgery: A multi-institutional review of 242 cases. Program and abstracts of the 97th Annual Meeting of the American Urological Association; May 25–30, 2002; Orlando, Florida, Abstract 416

  5. Gallup D, Freedman M, Meguiar R, Freedman S, Nolan T (2002) Necrotizing fasciitis in gynecologic and obstetric patients: A surgical emergency. Am J Obstet Gynecol 187:305–311

    Article  PubMed  Google Scholar 

  6. Armstrong D, Cohen J(1999) Infectious diseases, vol 1. Mosby, Philadelphia 1999

  7. Elliott D, Kufera J, Myers R (1996) Necrotizing soft tissue infections. Risk factors for mortality and strategies for management. Ann Surg 224:672–683

    Article  CAS  PubMed  Google Scholar 

  8. Wysoki M, Santora T, Shah R, Friedman A (1997) Necrotizing fasciitis: CT characteristics. Radiology 203:859–863

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Baylor College of Medicine, Department of Obstetrics and Gynecology, Smith Tower, Suite 801A, 6550 Fannin, Houston, TX 77030, USA

    Dallas W. Johnson, May ElHajj, Erin L. O´Brien-Best, Harold J. Miller & Paul M. Fine

Authors
  1. Dallas W. Johnson
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  2. May ElHajj
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  3. Erin L. O´Brien-Best
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  4. Harold J. Miller
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  5. Paul M. Fine
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Correspondence to Dallas W. Johnson.

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Johnson, D.W., ElHajj, M., O´Brien-Best, E.L. et al. Necrotizing fasciitis after tension-free vaginal tape (TVT) placement. Int Urogynecol J 14, 291–293 (2003). https://doi.org/10.1007/s00192-003-1064-1

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  • DOI: https://doi.org/10.1007/s00192-003-1064-1

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