Surgical removal of intra-abdominal intrauterine devices at one center in a 20-year period
| Autor: | Umit Nayki, Yusuf Yildirim, Ayşegül Dönmez, Emre Gultekin, Kenan Ertopcu, Cenk Nayki, Pasa Ulug |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Turkey medicine.medical_treatment Operative Time Douglas' Pouch Young Adult Laparotomy Surgical removal medicine Humans Laparoscopy Device Removal Retrospective Studies medicine.diagnostic_test business.industry Obstetrics and Gynecology Retrospective cohort study General Medicine Perioperative Conversion to Open Surgery Intrauterine Device Migration Surgery Endoscopy Family planning Referral center Female business Intrauterine Devices |
| Zdroj: | International Journal of Gynecology & Obstetrics. 128:10-13 |
| ISSN: | 0020-7292 |
| DOI: | 10.1016/j.ijgo.2014.07.025 |
| Popis: | OBJECTIVE: To review 20 years of experience of the removal of intra-abdominal intrauterine devices (IUDs) and to compare the surgical methods used. METHODS: In a retrospective study charts dating from between September 1 1992 and August 31 2012 were reviewed. Patients were eligible for inclusion when they had an IUD surgically removed by minilaparotomy or laparoscopy at a tertiary referral center in Izmir Turkey. RESULTS: Among the 36 eligible women 18 (50%) had undergone laparoscopy and 18 (50%) had undergone minilaparotomy. Mean operation length was 55.3+/-6.3 minutes in the laparoscopy group and 29.1+/-4.2 minutes in the minilaparotomy group (P=0.008). Conversion to full laparotomy was necessary in 4 (22%) women in the laparoscopy group and 1 (6%) in the minilaparotomy group (P=0.02). Perioperative complications were observed in 5 (14%) women with no difference in frequency between groups (P=0.09). Total cost of medical/surgical procedures was US$436.4+/-35.4 for the laparoscopy group and $323.4+/-21.3 for the minilaparotomy group (P=0.04). CONCLUSION: 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. Copyright (c) 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
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