title: [Necrotizing fasciitis and double bowel perforation after retropubic sub-urethral sling].
abstract: A 60-year-old woman without medical history developed after a Tension-free Vaginal Tape (TVT) procedure a necrotizing fasciitis and an abscess. After unadapted initial treatment, surgical procedure revealed 2 bowel perforations caused by the sling. Treatment was achieved by total mesh removal, bowel repair, necrosis excision and vacuum-assisted closure system. This is the first case report about the association of necrotizing fasciitis and double bowel perforations after TVT procedure. Any critical sepsis or with unsatisfactory evolution after retropubic sub-urethral sling has to make look for a digestive wound.
authors: Pôle de gynécologie-obstétrique et reproduction humaine, CHU Estaing, 1, place Lucie-Aubrac, 63003 Clermont-Ferrand cedex 1, France. Electronic address: ananda_carassoumaillan@yahoo.fr.
authors: A
authors: A
authors: Carassou-Maillan
authors: Pôle de gynécologie-obstétrique et reproduction humaine, CHU Estaing, 1, place Lucie-Aubrac, 63003 Clermont-Ferrand cedex 1, France.
authors: D
authors: D
authors: Savary
authors: Pôle de gynécologie-obstétrique et reproduction humaine, CHU Estaing, 1, place Lucie-Aubrac, 63003 Clermont-Ferrand cedex 1, France.
authors: B
authors: B
authors: Jacquetin
mesh_terms: D003106:Colon / Q000293:injuries*; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D053825:Suburethral Slings / Q000009:adverse effects*
keywords: Bandelette sous-urétrale rétropubienne (BSU-RP); Bowel perforation; Fasciite nécrosante; Necrotizing fasciitis; Pansement aspiratif; Perforation digestive; Procédure TVT; Retropubic sub-urethral sling; Tension-free vaginal tape (TVT) procedure; Vacuum-assisted closure system