Laparoscopic removal of translocated intrauterine contraceptive devices

Abstract
Over a 6 yr period, 67 women had a translocated intrauterine contraceptive device (IUD) removed from the peritoneal cavity or uterovesical fold under general anesthesia. In 40 patients, removal of the IUD at laparoscopy succeeded, while in 24, laparotomy proved necessary and 3 IUD were removed per vaginam. Compared with the inert plastic device a larger proportion of Cu-containing IUD in the peritoneal cavity required laparotomy for removal; 44% could be removed by laparoscopy, the less traumatic procedure.

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