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Ultrasound‐Guided Extraction of Intrauterine Devices With Nonvisible Threads: 254 Consecutive Cases: An Effective, Noninvasive Technique
Author(s) -
Kottmann Cristian,
Troncoso Maite,
Valenzuela Ignacio,
Ugarte Carolina,
Diaz Pilar,
Monckeberg Max,
Illanes Sebastian E.
Publication year - 2019
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.1002/jum.14986
Subject(s) - medicine , forceps , ultrasound , intrauterine device , surgery , obstetrics , family planning , research methodology , radiology , population , environmental health
Intrauterine devices (IUDs) are among the most efficient and widely used contraceptive methods available. Removal is recommended after a certain time or in some cases when adverse effects are observed. A considerable number of patients have nonvisible guides or “lost threads” on speculum examinations, hindering the extraction. In this article, we report a consecutive series of 254 nonpregnant patients referred to our center after 1 or more failed attempts at IUD removal. We describe a novel ultrasound‐guided approach, using a laparoscopic forceps to safely and effectively remove IUDs in nonpregnant patients.