Laparoscopic removal of translocated intrauterine contraceptive devices
Gupta, I.; Sawhney, H.; Mahajan, U.
Australian and New Zealand Journal of Obstetrics and Gynaecology 29(3 Part 2): 352-355
1989
ISSN/ISBN: 0004-8666 PMID: 2533496 DOI: 10.1111/j.1479-828x.1989.tb01762.xDocument Number: 367713
Data is presented regarding 20 translocated IUDs. Successful laparoscopic removal was made in 13 (65%) cases although these devices were all Copper T 200 models, which tend to produce dense adhesions. Only when the IUD was suspected to be partially or fully in the gut lumen or thick adhesions were present, or the device was not visualized, was laparotomy performed. Thus, it is advocated that laparoscopy by performed as a routine procedure in patients with suspected translocated IUD, as it obviates the need for laparotomy and decreases the duration of the hospital. It furthermore prevents morbidity associated with laparotomy.