**13. Intestinal lesion**

With an intestinal lesion, patients refer abdominal pain, peritoneal irritation and sometimes fecal matter leak through the incisions of the kit used (TVT) as was reported by Meschia et al (2002); Leboeuf et al (2003) and Castillo et al (2004). Leboeuf et al (2004) did a vaginal hysterectomy in a 73 year old patient due to genital prolapse followed by insertion of a TVT, during the post-op period she presented abdominal distension, and in an axial CAT scan they observed bowel distention and the bowel lesion site; they did an exploratory laparotomy where they found perforation of the mesentery without no other lesion, the perforation was repaired without complications.

Phillips et al (2009) reported a small size, thin patient with clinical signs of intestinal obstruction 3 years after the insertion of a TVT; she underwent an exploratory laparotomy where they found that the TVT mesh went through the peritoneum and was attached to the distal ileus; they did a resection and a primary anastomosis.
