Vaginal Revision of a Haematoma after Placement of Retropubic Tapes in Two Cases.
Formation of a haematoma after placement of retropubic tapes for stress incontinence is a rare but typical complication potentially requiring a subsequent operation. Under certain circumstances, haematoma removal by a vaginal approach represents a milder alternative to the subperitoneal laparotomy approach under general anaesthesia. We present two cases of vaginal haematoma revision after placement of retropubic tapes. By means of this gentle alternative to the standard laparotomy approach we could avoid general anaesthesia in one case and perform the operation under analgosedative local anaesthesia. In the second case, use of the vaginal approach enabled us to avoid a laparotomy in this obese patient with a superinfected haematoma that could have led to a possible secondary wound healing problem.
Deutsches Beckenbodenzentrum, Fachbereich Urogynäkologie, St. Hedwig Kliniken Berlin, Berlin.
S
S
Harf
Deutsches Beckenbodenzentrum, Fachbereich Urogynäkologie, St. Hedwig Kliniken Berlin, Berlin.
J
J
Marschke
Deutsches Beckenbodenzentrum, Fachbereich Urogynäkologie, St. Hedwig Kliniken Berlin, Berlin.
A
A
Lippkowski
Deutsches Beckenbodenzentrum, Fachbereich Urogynäkologie, St. Hedwig Kliniken Berlin, Berlin.
K
K
Beilecke
Deutsches Beckenbodenzentrum, Fachbereich Urogynäkologie, St. Hedwig Kliniken Berlin, Berlin.
R
R
Tunn
retropubic haematoma; retropubic tape placement; vaginal revision