Page 34 - wjols
P. 34

Laparoscopic Retrieval of Contraceptive Device
               Furthermore, in deciding whether to intervene in patients   references
            who have been asymptomatic, one should consider the risks of
            conservative management including migration to more critical     1.  Bozkurt M, Yumru AE, Coskun EI, et al. Laparoscopic management of
                                                                    a translocated intrauterine device embedded in the gastric serosa.
            locations with subsequent need for a complicated surgery, chances   J Pak Med Assoc 2011;61(10):1020–1022.
            of intra-abdominal abscess formation, psychological problems     2.  Ingec M, Kumtepe Y, Kadanali S, et al. A rare case of ileal embedding
            the patient may have, knowing about a foreign body inside her   by an intrauterine device. Eur J Contracept Reprod Health Care
            abdomen, and finally, the medicolegal consequences of a delayed   2005;10(1):29–31. DOI: 10.1080/13625180500035082.
            management. All these supported the WHO recommendations of     3.  Chi I. What have we learned from recent IUD studies: a researcher’s
            early surgical removal of all extrauterine IUCDs, in both symptomatic   perspective. Contraception 1993;48(2):81–108. DOI: 10.1016/0010-
            and asymptomatic patients.                              7824(93)90001-N.
               Both  laparotomy  and  laparoscopic  surgeries  are being     4.  Heartwell SF, Schlesselman S. Risk of uterine perforation among users
                                                                    of intrauterine devices. Obstet Gynecol 1983;61(1):31–36.
            performed for IUCD removal in the cases with the device migration.     5.  Aydogdu O, Pulat H. Asymptomatic far-migration of an intrauterine
            Laparoscopy is a preferred method as it is a minimally invasive   device into the abdominal cavity: a rare entity. CUAJ 2012;6(3):
            procedure and has less complications and a shorter period of   E134–E136. DOI: 10.5489/cuaj.11100.
            hospitalization compared to laparotomy. But laparoscopic removal     6.  Stuckey A, Dutreil P, Aspuru E, et al. Symptomatic cecal perforation by
                             7
            is not always possible.  In the study of Gill et al., laparoscopic   an intrauterine device with appendectomy removal. Obstet Gynecol
            removal was successful in 64.2% of all included cases of migrated   2005;105(5 Pt 2):1239–1241. DOI: 10.1097/01.AOG.0000157760.59342.bc.
                 7
            IUCDs.  The main reasons of not performing laparoscopy or      7.  Gill RS, Mok D, Hudson M, et al. Laparoscopic removal of an
            converting it to laparotomy were adhesions and severe abdominal   intra-abdominal intrauterine device: case and systematic review.
                                                                    Contraception 2012;85(1):15–18. DOI: 10.1016/j.contraception.
            sepsis. Luckily in our both patients, we were able to safely remove   2011.04.015.
            the IUCDs laparoscopically without complication.     8.  Gungor  M,  Sonmezer  M,  Atabekoglu  C,  et  al.  Laparoscopic
               In conclusion, the possibility of perforation of the uterus should   management of a translocated intrauterine device perforating
            be considered in any woman who has an IUCD and the strings   the bowel. J Am Assoc Gynecol Laparosc 2003;10(4):539–541. DOI:
            cannot be located, whether symptomatic or not. Surgical removal of   10.1016/S1074-3804(05)60163-6.
            the device, after the diagnosis is made, is recommended to prevent     9.  Zeino MY, Wietfeldt ED, Advani V, et al. Laparoscopic removal
            any subsequent serious complications. Laparoscopy is obviously   of a copper intrauterine device from the sigmoid colon. JSLS
                                                                    2011;15(4):568–570. DOI: 10.4293/108680811X13176785204661.
            preferable to laparotomy and our cases demonstrated that in     10.  Mederos  R,  Humaran  L,  Minervini  D.  Surgical  removal  of  an
            selected patients, missing IUCD can be appropriately managed by   intrauterine device perforating the sigmoid colon: a case report. Int
            laparoscopy without complication.                       J Surg 2008;6(6):e60–e62. DOI: 10.1016/j.ijsu.2007.02.006.
                                                                 11.  Sepulveda WH, Ciuffardi I, Olivari A, et al. Sonographic diagnosis of
                                                                    bladder perforation by an intrauterine device. A case report. J Reprod

            ethIcAl ApprovAl                                        Med 1993;38(11):911–913.
            All procedures performed in the study involving human participants     12.  Dede FS, Dilbaz B, Sahin D, et al. Vesical calculus formation around
                                                                    a migrated copper-T 380-A. Eur J Contracept Reprod Health Care
            were in accordance with the ethical standards of the institutional   2006;11(1):50–52. DOI: 10.1080/13625180500389349.
            and/or national research committee and with the 1964 Helsinki     13.  Ozgun MT, Batukan C, Serin IS, et al. Surgical management of
            declaration and its later amendments or comparable ethical   intra-abdominal mislocated intrauterine devices. Contraception
            standards.                                              2007;75(2):96–100. DOI: 10.1016/j.contraception.2006.09.011.
                                                                 14.  Roy KK, Banerjee N, Sinha A. Laparoscopic removal of translocated
                                                                    retroperitoneal IUD. Int J Gynaecol Obstet 2000;71(3):241–243. DOI:

            Informe d consent to pArtIcIpAte                     15.  Sun CC, Chang CC, Yu MH. Far-migrated intra-abdominal intrauterine
                                                                    10.1016/S0020-7292(00)00213-7.
            Informed consent was obtained from both patients included in   device with abdominal pain. Taiwan J Obstet Gynecol 2008;47(2):
            the study.                                              244–246. DOI: 10.1016/S1028-4559(08)60095-9.
                                                                 16.  Markovitch O, Klein Z, Gidoni Y, et al. Extrauterine mislocated IUCD:
                                                                    is surgical removal mandatory? Contraception 2002;66(2):105–108.

            Informed consent to publIsh                          17.  Mechanism of action, safety and efficacy of intrauterine devices.
                                                                    DOI: 10.1016/S0010-7824(02)00327-X.

            The informed consent was obtained from both patients to publish   Report of a WHO cientific group. World Health Organ Tech Rep Ser
            their case.                                             1987;753:1–91.
                                                                 18.  Demir SC, Cetin MT, Ucünsak IF, et al. Removal of intra-abdominal
                                                                    intrauterine device by laparoscopy. Eur J Contracept Reprod Health
                                                                    Care 2002;7(1):20–23. DOI: 10.1080/ejc.7.1.20.23.
            Acknowledgment                                       19.  Grimaldo Arriaga J, Herrera Aviles A, Garcia Taxilaga A. Perforation
            The authors are thankful to Mr Mohamed Mubarak for his excellent   of the large intestine caused by a type VII medicated copper IUCD.
            librarian assistance.                                   Ginecol Obstet Mex 1993;61:235–237.












             86   World Journal of Laparoscopic Surgery, Volume 13 Issue 2 (May–August 2020)
   29   30   31   32   33   34   35   36   37   38   39