title: Chinese IUD removal techniques in a Chinese population in central Italy.
abstract: OBJECTIVE
  To describe routine techniques and a newly developed approach to the removal of Chinese intrauterine devices (IUs).
  
  
  METHODS
  Office records regarding women of Chinese nationality who presented to a tertiary care hospital for IUD removal between January 2007 and March 2012 were retrieved. Their demographic data were reviewed and menstrual/obstetric history, IUD type, and reasons given for removal were recorded. All underwent pelvic transvaginal ultrasound scanning.
  
  
  RESULTS
  Of 134 Chinese IUDs, 18 (13.4%) were removed successfully in an office setting using a hook or uterine curette without general anesthesia or cervical dilation. Extraction under brief general anesthesia was performed in 55 (41.0%) cases. A further 61 (45.5%) Chinese IUDs were successfully removed in an office setting using a miniature resectoscope. Four types of Chinese IUDs were removed, the most common being the stainless steel ring (55.7%).
  
  
  CONCLUSIONS
  All removal procedures were effective and safe. The mini-resectoscope appears to be a safe and effective tool enabling minimally invasive surgery.
authors.forename: F
authors.initials: F
authors.lastname: Patacchiola
authors.forename: E
authors.initials: E
authors.lastname: Altobelli
authors.forename: G
authors.initials: G
authors.lastname: Di Febbo
authors.forename: F
authors.initials: F
authors.lastname: Benucci
authors.forename: P
authors.initials: P
authors.lastname: Palermo
authors.forename: G
authors.initials: G
authors.lastname: Carta
mesh_terms: D000328:Adult; D044466:Asian People; D020878:Device Removal / Q000379:methods*; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D007558:Italy; D012189:Retrospective Studies; D016896:Treatment Outcome; D014932:Women's Health Services