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Erschienen in: International Urogynecology Journal 5/2017

17.02.2017 | IUJ Video

Thigh exploration for excision of a transobturator sling

verfasst von: Alana M. Murphy, Howard B. Goldman

Erschienen in: International Urogynecology Journal | Ausgabe 5/2017

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Abstract

Introduction and hypothesis

Groin pain is a known complication of transobturator mesh placement. The objective of this instructional video is to present the surgical technique used to excise the thigh portion of a sling in a patient with persistent thigh pain after placement of a transobturator sling.

Methods

The featured patient is a 49-year-old woman with a history of bilateral groin pain since undergoing placement of a type one polypropylene transobturator sling. Because of persistent pain after removal of the vaginal portion of the sling, she elected to undergo a bilateral thigh dissection to remove the remaining transobturator mesh arms 14 months after her initial surgery.

Results

A bilateral thigh exploration was completed with successful excision of all remaining mesh.

Conclusion

Thigh exploration performed in a systematic fashion is a feasible option for transobturator mesh excision even when the vaginal component of the sling has been previously excised.
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Literatur
1.
Zurück zum Zitat King AB, Tenggardjaja C, Goldman HB. Prospective evaluation of the effect of thigh dissection for removal of transobturator mid urethral slings on refractory thigh pain. J Urol. 2016;196:1207–12. CrossRefPubMed King AB, Tenggardjaja C, Goldman HB. Prospective evaluation of the effect of thigh dissection for removal of transobturator mid urethral slings on refractory thigh pain. J Urol. 2016;196:1207–12. CrossRefPubMed
Metadaten
Titel
Thigh exploration for excision of a transobturator sling
verfasst von
Alana M. Murphy
Howard B. Goldman
Publikationsdatum
17.02.2017
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 5/2017
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-017-3276-9

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