Role of endoscopy in retrieval of misplaced intrauterine device
Mittal, S.; Kumar, S.; Roy, K.K.
Australian and New Zealand Journal of Obstetrics and Gynaecology 36(1): 49-51
1996
ISSN/ISBN: 0004-8666 PMID: 8775251 DOI: 10.1111/j.1479-828x.1996.tb02922.xDocument Number: 302353
We report a series of 45 patients with misplaced intrauterine devices (30 extrauterine and 15 intrauterine). Only those patients with intrauterine misplacements in whom conventional blind removal was not possible were included in the study. All of the 15 misplaced intrauterine devices could be removed hysteroscopically; 22 of the 30 extrauterine misplaced devices (73%) could be removed laparoscopically. One patient required both laparoscopy and hysteroscopy. Only 7 (15.5%) of 45 patients required laparotomy for safe removal of misplaced devices. Considerable comfort and minimal hospital stay associated with endoscopic procedures should offer these as the first line attempt to remove a misplaced intrauterine or extrauterine translocated device.