[Chronic TVT infection: mechanisms and consequences].
Despite the simplicity and efficacy of TVT, this technique, like all surgical treatments, is nevertheless associated with sometimes very serious complications. The authors report a case of chronic infection of a polypropylene implant presenting with cutaneous fistula of a retropubic abscess without an associated septic syndrome, ten months after TVT insertion. The TVT was removed by mini-laparotomy after failure of three weeks of adapted antibiotics and local wound care. These infections can be explained by the capacity of certain micro-organisms to bind to biomaterials and produce a biofilm, protecting from the action of antibiotics and immune cells.
Bafghi
Abdolreza
A
Service de Gynécologie-Obstétrique-Reproduction, CHU de Nice, France.
Caruba
Céline
C
Benizri
Emmanuel
E
Benizri
Eric
E
Bongain
André
A
D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D011126:Polypropylenes / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000209:etiology*; D014552:Urinary Tract Infections / Q000209:etiology*
D011126:Polypropylenes