Laparoscopic Removal of a Retroperitoneal Hysteroscopic Microinsert Using Fluoroscopy.
Perforation during placement of hysteroscopic microinserts for permanent sterilization occurs in approximately .9% to 2.6% of women undergoing the procedure. Most of the time perforation results in intraperitoneal placement of the hysteroscopic microinsert requiring laparoscopy or laparotomy for removal of the device. Herein we present a case of hysteroscopic microinsert perforation with subsequent retroperitoneal identification of the device. This is the first such case to our knowledge of retroperitoneal identification and retrieval of a perforated device that required real-time fluoroscopy during laparoscopy.
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan. Electronic address: hwahl@med.umich.edu.
Heather
H
Wahl
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan; Program on Women's Health Care Effectiveness Research, University of Michigan, Ann Arbor, Michigan.
Jason
J
Bell
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan; Division of Minimally Invasive Surgery, University of Michigan, Ann Arbor, Michigan.
Bethany
B
Skinner
D005260:Female; D005471:Fluoroscopy; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000295:instrumentation; D007432:Intraoperative Period; D058736:Intrauterine Device Migration / Q000009:adverse effects*; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D012187:Retroperitoneal Space / Q000601:surgery*; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000295:instrumentation*; D014595:Uterine Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D055815:Young Adult
Fluoroscopy; Hysteroscopic microinsert; Perforation