Published in:
01-09-2020 | Laparoscopy | Images in Urogynecology
Bowel lesion with TVT; early diagnostics and proper treatment of a severe complication
Published in: International Urogynecology Journal | Issue 9/2020
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Bowel lesion after TVT is a rare but severe complication with high mortality if diagnosed late. To our knowledge, ten cases have previously been published [1‐3]. This is a case of early diagnostics, although the symptoms were vague, and proper early treatment (Figs. 1, 2, 3, and 4).
Fig. 1
Laparoscopy 2 days after the TVT procedure. Laparscopy shows the left sigmoid colon with perforation by the left leg of the TVT sling. The sling proceeds through the colon to the anterior abdominal wall and to the left suprapubic incision. Vital bowel and no peritonitis or blood in the peritoneal cavity. No adhesions in the peritoneal cavity
Fig. 2
Pfannenstiel incision and exposed colon with the sling perforation. The sling was cut on both sides of the colon wall and removed completely on both sides using a vaginal approach
Fig. 3
Colon wedge resection at the site of the perforated sling
Fig. 4
Colon wedge resection with a sling
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