Recurrent thigh abscess with necrotizing fasciitis from a retained transobturator sling segment.
A woman who underwent transobturator sling surgery for urinary incontinence experienced early vaginal mesh erosion, and underwent a partial sling removal. Several months later, she developed recurrent right thigh and groin abscesses and necrotizing fasciitis. The source of the infection, a retained segment of mesh in the obturator space, was identified only after several operative procedures and referrals. This case illustrates several of the areas of concern with the introduction of new surgical materials and techniques.
Rardin
Charles R
CR
Division of Urogynecology and Reconstructive Pelvic Surgery, Women and Infants' Hospital, Warren Alpert School of Medicine at Brown University, Providence, Rhode Island, USA. crardin@wihri.org
Moore
Richard
R
Ward
Renee M
RM
Myers
Deborah L
DL
D000038:Abscess / Q000209:etiology*; D020878:Device Removal; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation / Q000009:adverse effects; D053825:Suburethral Slings / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects; D013848:Thigh