Tension-free vaginal tape bowel perforation.
A 73-year-old para 3 white female with posthysterectomy pelvic organ prolapse and stress urinary incontinence underwent pelvic reconstructive surgery and placement of tension-free vaginal tape. On postoperative day 4, she underwent exploratory laparotomy for small bowel obstruction. She was found to have an injury to the small bowel secondary to a through-and-through perforation by tension-free vaginal tape. The entire tape was removed. Partial small bowel resection and primary anastomosis were performed. Her subsequent recovery was uneventful.
Huffaker
R Keith
RK
Section of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Scott and White Memorial Hospital and Clinic, 2401 South 31st Street, Temple, TX 76508, USA. khuffake@yahoo.com
Yandell
Paul M
PM
Shull
Bobby L
BL
D000368:Aged; D020878:Device Removal; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000293:injuries* / Q000601:surgery; D053825:Suburethral Slings / Q000009:adverse effects*