title: Surgical removal of intra-abdominal intrauterine devices at one center in a 20-year period.
abstract: OBJECTIVE
  To review 20 years of experience of the removal of intra-abdominal intrauterine devices (IUDs) and to compare the surgical methods used.
  
  
  METHODS
  In a retrospective study, charts dating from between September 1, 1992, and August 31, 2012, were reviewed. Patients were eligible for inclusion when they had an IUD surgically removed by minilaparotomy or laparoscopy at a tertiary referral center in Izmir, Turkey.
  
  
  RESULTS
  Among the 36 eligible women, 18 (50%) had undergone laparoscopy and 18 (50%) had undergone minilaparotomy. Mean operation length was 55.3±6.3 minutes in the laparoscopy group and 29.1±4.2 minutes in the minilaparotomy group (P=0.008). Conversion to full laparotomy was necessary in 4 (22%) women in the laparoscopy group and 1 (6%) in the minilaparotomy group (P=0.02). Perioperative complications were observed in 5 (14%) women, with no difference in frequency between groups (P=0.09). Total cost of medical/surgical procedures was US$436.4±35.4 for the laparoscopy group and $323.4±21.3 for the minilaparotomy group (P=0.04).
  
  
  CONCLUSIONS
  Minilaparotomy seems to be an important alternative to laparoscopy for the removal of intra-abdominal IUDs. This procedure should be an integral part of gynecologic surgical training.
authors.affiliation: Department of Gynecology and Family Planning, Aegean Obstetrics and Gynecology Education and Research Hospital, Izmir, Turkey.
authors.forename: Kenan
authors.initials: K
authors.lastname: Ertopcu
authors.affiliation: Department of Obstetrics and Gynecology, Erzincan University School of Medicine, Erzincan, Turkey.
authors.forename: Cenk
authors.initials: C
authors.lastname: Nayki
authors.affiliation: Department of Obstetrics and Gynecology, Erzincan University School of Medicine, Erzincan, Turkey.
authors.forename: Pasa
authors.initials: P
authors.lastname: Ulug
authors.affiliation: Department of Obstetrics and Gynecology, Erzincan University School of Medicine, Erzincan, Turkey.
authors.forename: Umit
authors.initials: U
authors.lastname: Nayki
authors.affiliation: Department of Gynecology and Family Planning, Aegean Obstetrics and Gynecology Education and Research Hospital, Izmir, Turkey.
authors.forename: Emre
authors.initials: E
authors.lastname: Gultekin
authors.affiliation: Department of Gynecology and Family Planning, Aegean Obstetrics and Gynecology Education and Research Hospital, Izmir, Turkey.
authors.forename: Aysegul
authors.initials: A
authors.lastname: Donmez
authors.affiliation: Department of Gynecology and Family Planning, Aegean Obstetrics and Gynecology Education and Research Hospital, Izmir, Turkey; Department of Obstetrics and Gynecology, Erzincan University School of Medicine, Erzincan, Turkey. Electronic address: dr.yusufyildirim2@yahoo.com.tr.
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Yildirim
mesh_terms: D000293:Adolescent; D000328:Adult; D061887:Conversion to Open Surgery; D020878:Device Removal / Q000191:economics / Q000379:methods*; D004312:Douglas' Pouch / Q000601:surgery*; D005260:Female; D006801:Humans; D058736:Intrauterine Device Migration / Q000009:adverse effects*; D007434:Intrauterine Devices / Q000009:adverse effects*; D010535:Laparoscopy / Q000191:economics; D007813:Laparotomy / Q000191:economics; D061646:Operative Time; D012189:Retrospective Studies; D014421:Turkey; D055815:Young Adult
keywords: Intra-abdominal intrauterine devices; Laparoscopy; Minilaparotomy