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Removal of completely perforating IUDs by explorative laparotomy
International Journal of Fertility
|July 1, 1987
Summary
Completely perforating intrauterine contraceptive devices (IUDs) were surgically removed. Explorative laparotomy proved effective for retrieving embedded IUDs, with advantages over other minimally invasive methods.
Area of Science:
- Reproductive Health
- Minimally Invasive Surgery
- Gynecological Devices
Background:
- Intrauterine contraceptive devices (IUDs) are widely used for birth control.
- Complete perforation of the uterus by an IUD is a rare but serious complication.
- Management of perforated IUDs requires surgical intervention.
Purpose of the Study:
- To present cases of completely perforating intrauterine contraceptive devices.
- To evaluate the efficacy of explorative laparotomy for IUD removal.
- To compare explorative laparotomy with alternative surgical approaches.
Main Methods:
- Retrospective case series of nine patients with perforating IUDs.
- Surgical removal of IUDs using explorative laparotomy.
- Documentation of IUD location and surgical findings.
Main Results:
- All nine IUDs were successfully removed via explorative laparotomy.
- Eight of nine devices were found embedded in the omentum or vesical peritoneal plica.
- Explorative laparotomy facilitated complete device retrieval and assessment.
Conclusions:
- Explorative laparotomy is a safe and effective method for managing completely perforating IUDs.
- This approach offers advantages in visualizing and removing embedded devices compared to laparoscopy or colpotomy.
- Prompt surgical intervention is crucial for preventing complications associated with perforating IUDs.