Related Experiment Video
Updated: Jan 1, 2026
Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
Radical excision of a complicated transobturator tape
Themos Grigoriadis1, Dimitrios Zacharakis2, Vasileios Kontogeorgakos3
1First Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, "Alexandra" General Hospital, 80 Vas.Sofias Aven, 11528, Athens, Greece.
Aim Of The Video:
In this video, we present the case of a late-detected sinus formation 4 years after a TOT placement.
Method:
A combined surgical approach (transvaginal and transcutaneous routes) performed by a urogynecologist and an orthopaedic surgeon was chosen to carry out a radical en bloc excision of the sinus tract with the right half of the tape. This combined approach has the advantage of completely removing the biofilm adhered to the surface of the tape and the surrounding tissues, thus making antibiotic therapy more effective.
Conclusion:
Surgical removal of these microbial commmunities is very important for the resolution of device-related infections. Severe infectious complications of transobturator slings should be managed by a tertiary multidisciplinary team to optimize patient care.
