Department of Gynecology & Obstetric, College of Medicine, Kirkuk University, Iraq
*Coresponding Author: Dr. Khalidah Mohammed Amin, Department of Gynecology & Obstetric, College of Medicine, Kirkuk University, Iraq, Phone: 009647718854811, Email: khalidagyn@gmail.com
Online published on 26 September, 2019.
Globally, more than one hundred million women choose intrauterine contraceptive device (IUD) for family planning. The complications related to IUDs are minor with low incidence and included pain, pelvic inflammatory disease, bleeding, ectopic pregnancy and missing or malposition of IUD. The missing IUD may be caused by displacement, perforation, embedding or expulsion of IUDs in uterine cavity or in peritoneal cavity. Current study was aimed to evaluate the pattern of diagnosis and management of missed or migrated intrauterine contraceptive device (IUD) by minimal access surgery, laparoscopy & hysteroscopy.
The study was a prospective study in (54) patients referred to gynecological department in Azadi Teaching Hospital in Kirkuk between September 2009 and April 2018. The site of missed (IUD) was diagnosed by ultrasonography and x ray.
Intrauterine contraceptive devices were removed after dilatation of cervix and exploration of uterine cavity in (28) patients, (7) cases by hysteroscopy, (15) cases by laparoscopic removal, in (3) cases by laparotomy and in one case IUD was taken out through cystoscopy.
It is recommended that approach for removal of missed lUDs should be planed according to the site. Laparoscopy is superior to laparotomy in perforated outside the uterus. Intrauterine device should be inserted by trained medical professionals.
IUD, Laparoscopy, Hysteroscopy, Laparotomy, ultrasonography
