A novel hysteroscopic hook for extracting retained contraceptive intrauterine devices under direct vision
Liu, L.; Chi, Y.; Wang, Y.; Zhang, G.; Yang, M.; Ge, L.
European Journal of Contraception and Reproductive Health Care the Official Journal of the European Society of Contraception 20(2): 136-140
2015
ISSN/ISBN: 1362-5187 PMID: 25666811 DOI: 10.3109/13625187.2014.1000538Document Number: 625836
The study evaluated the efficacy of removing retained intrauterine devices (IUDs) under direct vision using a novel hysteroscopic hook. In a retrospective observational study, 83 patients (group 1) underwent IUD extraction using a hysteroscopic IUD removal hook (HIRH) and 60 patients (group 2) underwent traditional hysteroscopic IUD extraction. We recorded the blood loss, operation time and success rate. The operation time was shorter (10.7 vs. 17.7 min; p < 0.001) and the success rate higher in group 1 compared with group 2 (odds ratio 1.09; p = 0.027). The HIRH is an effective, simple, inexpensive and durable tool for the direct visual removal of IUDs partially embedded in the endometrium and for damaged IUDs.