Necrotizing fasciitis after tension-free vaginal tape (TVT) placement.
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.
Johnson
Dallas W
DW
Baylor College of Medicine, Department of Obstetrics and Gynecology, Smith Tower, Suite 801A, 6550 Fannin, Houston, TX 77030, USA. dallasj@bcm.tmc.edu
ElHajj
May
M
OBrien-Best
Erin L
EL
Miller
Harold J
HJ
Fine
Paul M
PM
D000900:Anti-Bacterial Agents; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D013526:Surgical Mesh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*
D000900:Anti-Bacterial Agents