Surgical removal of intra‐abdominal intrauterine devices at one center in a 20‐year period

Abstract

Minilaparotomy seems to be an important alternative to laparoscopy for the removal of intra-abdominal IUDs. This procedure should be an integral part of gynecologic surgical training.

Conservative management of postmenopausal woman with prolonged use of the dislocated intrauterine device which was also unnoticed while hysterectomy

“…7 Minilaparotomy is cost-saving procedure which can be alternative to laparoscopy with less need for equipment. 9 To the best of our knowledge, this was the first case of dislocated intrauterine device which was also unnoticed while hysterectomy. To avoid unnecessary referrals and treatment delay, all patients should be questioned about contraceptive methods as a part of clinical preoperative assessment.…”

Laparoscopic Management of Abdominal Pregnancy Replaced in the Vesicouterine Pouch and Sacrouterine Ligament

“…Intrauterine contraseptive device is a long acting, effective, and reversible method of contraception and being used by many women especially in low-income countries (9). However, there is some concerns such as uterine perforation that may occur during insertion and with a varying incidence from 0.1 to 3.0 per 1000 interventions.…”

“…However, there is some concerns such as uterine perforation that may occur during insertion and with a varying incidence from 0.1 to 3.0 per 1000 interventions. Uterine perforation especially seen when performed in postpartum period because of the softening of the uterus (9). Perforations may also occur on insertion after an induced abortion.…”

“…Perforations may also occur on insertion after an induced abortion. The majority of the symptoms are lower abdominal pain and vaginal bleeding, but many patients are remaining asymptomatic (9,10). The most common locations after perforation IUCDs are pouch of Douglas, omentum, colon, bladder, parametrium, uterine wall, ovary, and retroperitoneum (9).…”

“…The migration of IUCD may cause serious complications (e.g. bladder and bowel damage) in about 15% of the cases (9). The definition of migrated IUCD to extrapelvic locations cannot be detected by transvaginal ultrasonography alone, and a bidirectional X Ray may be helpful for confirmation of the location.…”