Laparoscopic removal of translocated intrauterine contraceptive devices.

ABSTRACT

PIP: Data is presented regarding 20 translocated IUDs. Successful laparoscopic removal was made in 13 (65%) cases although these devices were all Copper T 200 models, which tend to produce dense adhesions. Only when the IUD was suspected to be partially or fully in the gut lumen or thick adhesions were present, or the device was not visualized, was laparotomy performed. Thus, it is advocated that laparoscopy by performed as a routine procedure in patients with suspected translocated IUD, as it obviates the need for laparotomy and decreases the duration of the hospital. It furthermore prevents morbidity associated with laparotomy.