Surgical management of vaginal wound healing defects after tension-free vaginal tape placement.
The use of tension-free vaginal tape (TVT) made of polypropylene mesh carries the risk of causing vaginal wound healing defects, which are usually detected within 4 weeks of operation. We present three cases of vaginal wound healing defects after TVT procedures. These defects were managed using surgical techniques aimed at preserving the mesh, but all failed. There are many options for dealing with the problems of vaginal wounds following TVT. These include further observation, mesh removal, suturing the wound, or using tissue flaps to cover it. However, the latter two options cannot be recommended as they usually fail.
Lee
Tack
T
Department of Urology, Inha University Medical College, Incheon, Korea. lt11@inha.ac.kr
Kim
Jun-Sig
JS
Jung
Jin-Kwan
JK
Lee
Hun-Jae
HJ
D000328:Adult; D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes / Q000009:adverse effects*; D013524:Surgical Flaps; D013526:Surgical Mesh / Q000009:adverse effects*; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014621:Vagina / Q000473:pathology* / Q000601:surgery*
D011126:Polypropylenes