Premium
Management of Translocated and Incarcerated Intrauterine Contraceptive Devices
Author(s) -
Mittal S.,
Gupta I.,
Lata P.,
Mahajan U.,
Gupta A. N.
Publication year - 1986
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1986.tb01574.x
Subject(s) - curette , hysteroscopy , laparotomy , intrauterine device , medicine , genitourinary system , pelvis , uterine cavity , uterus , obstetrics , surgery , family planning , population , anatomy , research methodology , environmental health
Summary: Thirty‐seven consecutive patients who reported with absent or snapped strings and failed attempts at removal of intrauterine contraceptive devices (IUCD) by hooks or curette were posted for hysteroscopy/laparotomy following a plain X‐ray of the pelvis to exclude unrecognized spontaneous expulsion. Direct visualization of the endometrial cavity was invaluable in locating and removing IUCDs, particularly the embedded and fragmented ones. Translocated medicated devices were associated with dense adhesions, suggesting the need for their prompt removal. There appears to be an increased risk of translocation in lactating women.