Journal List > Korean J Obstet Gynecol > v.55(3) > 1088420

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Hong, Choi, Kim, Sunwoo, Bae, and Ahn: A case of treatment using skin flap of recurrent mesh erosion in transobturator tape
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(3): 201-205.

Published online: 15 March 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.3.201

A case of treatment using skin flap of recurrent mesh erosion in transobturator tape

Jung-Hee Hong, MD1, Seung-Do Choi, MD1, Yun-Sook Kim, MD1, Jae-Gun Sunwoo, MD1, Dong-Han Bae, MD1, Hyung-Sik Ahn, MD2

1Department of Obstetric and Gynecology, Soonchunhyang Chunan Hospital, Soonchunhyang University College of Medicine, Chunan, Korea.

2Department of Plastic and Reconstructive Surgery, Soonchunhyang Chunan Hospital, Soonchunhyang University College of Medicine, Chunan, Korea.

Corresponding author: Jae-Gun Sunwoo, MD. Department of Obstetric and Gynecology, Soonchunhyang Chunan Hospital, Soonchunhyang University College of Medicine, 8 Soonchunhyang 2-gil, Dongnam-gu, Cheonan 330-930, Korea. Tel: +82-41-570-2150, Fax: +82-41-571-7887, jgsunwoo@schmc.ac.kr

Received 31 October 2011       Revised 30 January 2012       Accepted 13 February 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Transobturator tape (TOT) as one of midurethral slings is increasingly popular for the surgical treatment of stress urinary incontinence because of low complication rate and short operating time. Vaginal erosion after TOT is generally observed in 0.7%-1.3% of all cases. For preventing complications like vaginal erosion or infection after TOT, subtotal or total excision of mesh materials and use of broad-spectrum antibiotics are recommended. We report our experience with a case of treatment using skin flap and foreign body removal of recurrent mesh erosion in TOT.

Keywords: Transobturator tape, Mesh erosion, Stress urinary incontinence

Figures and Tables

Fig. 1
Disruption of operation wound after 28 days after removing tape and vaginal erosion.
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Fig. 2
Skin Flap operation using rotation flap around the disrupted operation wound after second operation 5 days.
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Fig. 3
The pelvic computed tomography showing about 1.9 cm sized low density A left outside and contrast enhanced its around areas B after second operation 5 days.
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Fig. 4
Fourteen days after third operation.
kjog-55-201-g004

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