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Related Experiment Video

Updated: Jun 7, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Algorithm for nonvisible strings of levonorgestrel intrauterine system.

George A Vilos¹, Robert Di Cecco, Jennifer Marks

¹St. Joseph's Health Care, Department of Obstetrics and Gynecology, The University of Western Ontario, London, Ontario, Canada. george.vilos@sjhc.london.on.ca

Journal of Minimally Invasive Gynecology

|October 20, 2010

Summary

Strings from a levonorgestrel intrauterine system (LNG-IUS) were not visible in the cervix. The device was found in the omentum and removed surgically, leading to a proposed algorithm for missing IUS strings.

Related Experiment Videos

Last Updated: Jun 7, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Area of Science:

Reproductive Medicine
Minimally Invasive Surgery
Medical Device Complications

Background:

Intrauterine devices (IUDs) are common contraceptives.
Complications such as missing strings can occur.
Rarely, IUDs can migrate to extrauterine locations.

Purpose of the Study:

To report a rare case of levonorgestrel intrauterine system (LNG-IUS) migration.
To describe the laparoscopic retrieval of an omental LNG-IUS.
To propose an algorithm for managing missing IUD strings.

Main Methods:

Case report of a patient with nonvisible LNG-IUS strings.
Diagnostic imaging to locate the misplaced device.
Laparoscopic surgery for device retrieval.
Development of a management algorithm.

Main Results:

The levonorgestrel intrauterine system (LNG-IUS) was not visible in the cervical canal.
The LNG-IUS was located within the omentum.
Successful laparoscopic retrieval of the omental LNG-IUS was achieved.
A novel algorithm for managing missing IUD strings was devised.

Conclusions:

Omental migration of an LNG-IUS is a rare but possible complication.
Laparoscopic surgery is an effective method for retrieving migrated IUDs.
A structured approach is beneficial for diagnosing and managing missing IUD strings.