Removal of intra-abdominal intrauterine device by laparoscopy
| Autor: | L. Toksöz, Süleyman Cansun Demir, Yılmaz Atay, Oktay Kadayifçi, İbrahim Ferhat Ürünsak, Mehmet Turan Çetin |
|---|---|
| Přispěvatelé: | Çukurova Üniversitesi |
| Jazyk: | angličtina |
| Rok vydání: | 2002 |
| Předmět: |
Adult
Counseling medicine.medical_specialty Time Factors Turkey Population Uterus Hysteroscopy Abdominal cavity Intrauterine device Foreign-Body Migration medicine Humans Lost intrauterine device Pharmacology (medical) education Laparoscopy Retrospective Studies education.field_of_study medicine.diagnostic_test business.industry Patient Selection Sterilization Reproductive Obstetrics and Gynecology Intrauterine Device Expulsion Surgery Endoscopy Treatment Outcome medicine.anatomical_structure Perimetrium Reproductive Medicine Female business Intrauterine Devices |
| Popis: | PubMedID: 12041860 Objective: In this study, we aimed to evaluate the cases in which intra-abdominal intrauterine devices (IUDs) were removed by laparoscopy. Methods: A retrospective study, from 1994 to 2000 was carried out with eight patients who underwent laparoscopy for the removal of an IUD. The patients admitted to our clinic with 'lost IUD' were examined by pelvic ultrasonography, X-ray and hysteroscopy. IUDs were found to be extrauterine but within the abdominal cavity. The IUDs were removed by operative laparoscopy. Results: The mean age of the patients was 31.5 years. The mean duration of usage of IUD was 5.5 years. The IUD was located in the cavity of Douglas in four cases, in the posterior wall of the uterus (perimetrium) in one case and in the conglomerated mass bordered by the intestines in three cases. The types of the IUDs were Cu-T 380A (n = 5), Multiload (n = 1) and Lippes-Loop (n = 2). The mean laparoscopic operation time was 25 min. No major complications (intestinal or vessel injuries) or minor problems occurred. Laparotomy was not necessary in any of the eight cases. All cases were treated as out-patients and discharged on the same day. After counselling, three women requested sterilization, which was performed at the same laparoscopy session by the administration of bilateral Yoon rings, and other family planning methods were chosen by five women. There were no problems when cases were followed at the 10th and 30th postoperative days. Discussion: Our results support the idea that, in cases of extrauterine but intra-abdominal IUD, laparoscopic removal of the IUD must be the first choice of therapy. |
| Databáze: | OpenAIRE |
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