title: Removal of intra-abdominal mislocated intrauterine devices by laparoscopy.
abstract: This retrospective study was carried out on 15 patients who underwent laparoscopy for the removal of a mislocated IUD from 2003 to 2009. The mean duration of usage of an IUD was 16.1 months. The IUD was found in the Pouch of Douglas in six patients; in the posterior wall of the uterus in three patients; in the adnexa in three patients; in the omentum in two patients and it was embedded in the rectal serosa in one patient. The types of the IUDs were TCu-380A (n = 13) and Mirena(®) (n = 2). The mean laparoscopic operation time was 25 min. No major complications occurred. A second ancillary port was required in three patients. All patients were discharged within 24 h. Laparoscopic removal of the intra-abdominal IUD must be the first choice of therapy. If possible, a single ancillary port should be preferred for the removal of mislocated IUDs. We advise that surgical removal and surgical risk should be discussed with the patients, even if asymptomatic.
authors.affiliation: Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Konya, Turkey. drobalci@yahoo.com
authors.forename: O
authors.initials: O
authors.lastname: Balci
authors.forename: M
authors.initials: M
authors.lastname: Capar
authors.forename: A S
authors.initials: AS
authors.lastname: Mahmoud
authors.forename: M C
authors.initials: MC
authors.lastname: Colakoglu
mesh_terms: D000005:Abdomen; D000290:Adnexa Uteri; D000328:Adult; D004312:Douglas' Pouch; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000178:diet therapy / Q000601:surgery*; D006801:Humans; D058736:Intrauterine Device Migration; D007434:Intrauterine Devices / Q000009:adverse effects; D010535:Laparoscopy; D008875:Middle Aged; D009852:Omentum; D011859:Radiography; D012189:Retrospective Studies; D014463:Ultrasonography; D014599:Uterus