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ObTape吊带置入后无侵蚀的网片感染:一项诊断挑战。

Mesh infection without erosion after ObTape sling insertion: a diagnostic challenge.

作者信息

Ismail Sharif I M F

机构信息

Royal Bournemouth Hospital, Bournemouth, Dorset, England, UK.

出版信息

Int Urogynecol J Pelvic Floor Dysfunct. 2007 Sep;18(9):1115-8. doi: 10.1007/s00192-007-0312-1. Epub 2007 Feb 28.

DOI:10.1007/s00192-007-0312-1
PMID:17333441
Abstract

Infection is a recognised complication of using synthetic mesh tapes in continence surgery. It has only been reported alongside erosion after trans-obturator sling insertion for urodynamic stress incontinence. A 41-year-old patient developed mesh infection. This infection was diagnosed 16 months after insertion, when it became an abscess and discharged through her groin. The condition was not suspected earlier, despite having examination under anesthesia and repeat cystoscopy. The patient recovered upon removing the mesh and remains continent. This case documents the possible development of mesh infection without erosion. It highlights the importance of taking this possibility into consideration when dealing with patients after continence surgery and explores how it can be detected.

摘要

感染是在尿失禁手术中使用合成网带的一种公认并发症。仅在经闭孔吊带置入治疗尿动力学压力性尿失禁后与侵蚀一并被报道过。一名41岁患者发生了网带感染。该感染在置入后16个月被诊断出来,当时形成了脓肿并通过腹股沟排出。尽管进行了麻醉下检查和重复膀胱镜检查,但早期并未怀疑有这种情况。患者在取出网带后康复,并且仍保持控尿状态。该病例记录了无侵蚀情况下网带感染的可能发展情况。它强调了在处理尿失禁手术后的患者时考虑这种可能性的重要性,并探讨了如何进行检测。

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本文引用的文献

1
Vaginal tape erosion following transobturator tape (TOT) operation for stress urinary incontinence.经闭孔尿道中段悬吊带术(TOT)治疗压力性尿失禁后出现的阴道吊带侵蚀。
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Lower urinary tract injuries after transobturator tape insertion by different routes: a large retrospective study.
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Obstet Gynecol. 2006 Sep;108(3 Pt 2):720-3. doi: 10.1097/01.AOG.0000214672.80055.6a.
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Bilateral bladder erosion of a transobturator tape mesh.
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How common are tape erosions? A comparison of two versions of the transobturator tension-free vaginal tape procedure.耻骨后无张力尿道中段吊带术的侵蚀情况有多常见?两种经闭孔无张力阴道吊带术式的比较。
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High rate of vaginal erosions associated with the mentor ObTape.与Mentor ObTape相关的阴道糜烂发生率高。
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Trans-obturator surgery for stress urinary incontinence: 1-year follow-up of a cohort of 52 women.
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Complications associated with transobturator sling procedures.经闭孔吊带手术相关并发症。
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jan;18(1):19-22. doi: 10.1007/s00192-006-0091-0. Epub 2006 Mar 28.
9
Five cases of tape erosion after transobturator surgery for urinary incontinence.经闭孔尿失禁手术后发生5例补片侵蚀。
Obstet Gynecol. 2006 Feb;107(2 Pt 2):472-4. doi: 10.1097/01.AOG.0000172375.57534.a9.
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Objective and subjective cure rates after trans-obturator tape (OBTAPE) treatment of female urinary incontinence.
Eur Urol. 2006 Feb;49(2):373-7. doi: 10.1016/j.eururo.2005.11.012. Epub 2005 Dec 20.