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Single-Port Perforated Intrauterine Device Removal With a Transabdominal Hysteroscope
Monique Marguerie1, Lauren Andrew, Ari P Sanders
1Division of Minimally Invasive Gynecology, Department of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada.
Obstetrics and Gynecology
|July 30, 2026
Summary
A novel single-port laparoscopic technique using a transabdominal hysteroscope effectively extracts perforated intrauterine devices (IUDs). This minimally invasive approach offers a simpler alternative to traditional multi-port laparoscopy for gynecologic surgery.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Laparoscopic Surgical Techniques
- Intrauterine Device (IUD) Management
Background:
- Minimally invasive techniques in gynecology reduce patient pain and recovery time.
- Perforated intrauterine devices (IUDs) occur in 0.2-3.6 per 1,000 insertions.
- Traditional extraction of perforated IUDs requires two- or three-port laparoscopy.
Purpose of the Study:
- To describe a novel single-port transabdominal hysteroscopic technique for perforated IUD extraction.
- To present a less invasive alternative to conventional laparoscopic methods.
Main Methods:
- Utilizing a hysteroscope and hysteroscopic grasper inserted transabdominally through a single laparoscopic trocar.
- Demonstrating the technique for extracting perforated IUDs from the abdominal cavity.
Main Results:
- The described technique allows for the extraction of perforated IUDs.
- It is suitable for patients with intra-abdominal IUDs without complications like bowel or bladder perforation or abscess.
- Adhesions may require specific techniques for IUD release.
Conclusions:
- A single-port transabdominal hysteroscopic approach is a viable option for most perforated IUD cases.
- This method simplifies the procedure, with the option to add ports if necessary.