open access

Vol 85, No 4 (2014)
ARTICLES
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Sepsis and multiorgan failure following TVT procedure

Piotr Stec, Rowan Connell
DOI: 10.17772/gp/1730
·
Ginekol Pol 2014;85(4).

open access

Vol 85, No 4 (2014)
ARTICLES

Abstract

Tension-free vaginal tape (TVT), is a commonly performed, low risk procedure for treatment of stress urinary incontinence (SUI). Severe complications are rare, but can be potentially life threatening. We present a case of 66 year old patient who sustained bladder perforation at the time of TVT procedure and subsequently developed sepsis rapidly leading to multi-organ failure and triggering sequence of serious complications. During her inpatient stay she required ITU admission, emergency laparotomy, TVT mesh removal, bowel resection due to ischemic colitis and anticoagulation for pulmonary embolism. Despite of clinical picture of sepsis her microbiology tests were almost consistently negative. This case emphasise importance of awareness and quick recognition of TVT related complications. Patient ultimately survived and recovered thanks to timely and coordinated management by the multidisciplinary team of doctors.

Abstract

Tension-free vaginal tape (TVT), is a commonly performed, low risk procedure for treatment of stress urinary incontinence (SUI). Severe complications are rare, but can be potentially life threatening. We present a case of 66 year old patient who sustained bladder perforation at the time of TVT procedure and subsequently developed sepsis rapidly leading to multi-organ failure and triggering sequence of serious complications. During her inpatient stay she required ITU admission, emergency laparotomy, TVT mesh removal, bowel resection due to ischemic colitis and anticoagulation for pulmonary embolism. Despite of clinical picture of sepsis her microbiology tests were almost consistently negative. This case emphasise importance of awareness and quick recognition of TVT related complications. Patient ultimately survived and recovered thanks to timely and coordinated management by the multidisciplinary team of doctors.
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Keywords

TVT procedure, multiorgan failure, sepsis

About this article
Title

Sepsis and multiorgan failure following TVT procedure

Journal

Ginekologia Polska

Issue

Vol 85, No 4 (2014)

DOI

10.17772/gp/1730

Bibliographic record

Ginekol Pol 2014;85(4).

Keywords

TVT procedure
multiorgan failure
sepsis

Authors

Piotr Stec
Rowan Connell

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