AI Article Synopsis
- This study examines the factors leading to the misplacement of intrauterine devices (IUDs), their diagnosis, and the surgical options for management.
- Of 18 patients analyzed, most IUD insertions were performed by trained midwives or general practitioners, with 61% managed using laparoscopic surgery and no complications reported.
- The findings emphasize the need for proper training for IUD inserters and recommend ultrasound as the preferred diagnostic tool, resorting to X-ray only if necessary.
Article Abstract
Purpose: To evaluate the predisposing factors, diagnosis and surgical treatment options of patients with intra-abdominal, mislocated intrauterine devices (IUDs).
Methods: The diagnosis and management of 18 patients with intra-abdominal, mislocated IUDs were analyzed in this retrospective study.
Results: Trained midwives inserted ten (55%) of the IUDs, while six (33%) were inserted by general practitioners and two (11%) by specialist gynecologists. Ten (55.5%) of the patients were diagnosed by gynecological examination and ultrasonography (USG); abdominal X-ray, in addition, was required in the other eight (44.4%). Eleven patients (61%) were managed by laparoscopy, whereas laparotomy was required in seven (39%). For all patients, laparoscopy was performed initially. No complication was encountered in any of the patients.
Conclusion: Persons who insert IUDs should receive adequate training before certification, because inadequate pelvic examination before insertion and inexperience of the inserting person might be predisposing factors for uterine perforation. If IUD strings are not visible during gynecologic examination, USG should be tried to locate the IUD and pelvic X-ray used only when USG fails to locate the IUD. Laparoscopy can be the first choice for removal.
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| http://dx.doi.org/10.1007/s00404-010-1374-8 | DOI Listing |
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Article Synopsis
- This study examines the factors leading to the misplacement of intrauterine devices (IUDs), their diagnosis, and the surgical options for management.
- Of 18 patients analyzed, most IUD insertions were performed by trained midwives or general practitioners, with 61% managed using laparoscopic surgery and no complications reported.
- The findings emphasize the need for proper training for IUD inserters and recommend ultrasound as the preferred diagnostic tool, resorting to X-ray only if necessary.
Surgical management of intra-abdominal mislocated intrauterine devices.
Contraception
February 2007
Department of Obstetrics and Gynecology, Faculty of Medicine, Gevher Nesibe Hospital, Erciyes University, 38039 Kayseri, Turkey.
Objective: We report on our experience in surgical treatment of patients with intra-abdominal intrauterine devices (IUDs).
Material And Methods: A total of 10 patients were retrospectively analyzed. Diagnosis was based on gynecologic examination, transvaginal sonography, and abdominal X-ray.
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