Intraabdominal IUD Removal Perlaparascopy, A Case Report From Dr. Zainoel Abidin Hospital in Banda Aceh
Journal Title: Women's Health Science Journal - Year 2020, Vol 4, Issue 1
Abstract
Background: Intra-Uterine Device (IUDs) is the most effective long-term contraceptive methods, easy to get and easy to use for trained health workers. IUD users are estimated more than 100 million in the world. In Indonesia, the percentage of IUD users is 6.97%. Serious complications from an IUD both during insertion and using are rare; dislocation is one of the complications. The initial detection of dislocation is by touching the thread at the cervix, examining the sondage and pelvic photographs. Management of IUD dislocation is by laparotomy or laparoscopy. A case of a 25-year-old woman, Para1Abortus 0, complaining about cannot palpable IUD thread and not seen IUD for 1 years before operation and now she wants to remove the IUD. Abdominal x-ray appears IUD outside the uterine cavity and from ultrasound cannot find the IUD intra uterine. We did laparoscopic exploration for IUD removal, showed a perforation in the posterior wall of the uterus that had been covered by the omentum, and IUD was removed, both the adnexa and uterus were in normal limit and after making sure there was no abdominal cavity bleeding : was complete. Conclusion: This is a rare case and the risk of complications should be minimized if it is done at the right time and by a well-trained staff, early detection of simple IUD dislocation with IUD thread control. In the case of dislocation, laparoscopic exploration is safe and the main choice if the facility and expert resources were available.
Authors and Affiliations
Mohd. Andalas*, Cut Rika Maharani and Cut Nonda Maracilu
Keywords
Related Articles
- EP ID EP745883
- DOI 10.23880/whsj-16000139
- Views 38
- Downloads 0
Correlation between Insulin Resistance and Steroid Endometrial Receptors, KI-67 and BCL-2 after Menopause
Introduction: After menopause, the distribution of weight gain and fat deposits may be altered, with a predominance of abdominal fat. This fat has been correlated with the appearance of metabolic and neoplastic diseases....
The Impact of Chronic Diseases during Pregnancy on the Fetus and Mother Health: A Literature Review
Introduction: The fetal malformations are sometimes consequences of certain diseases that a pregnant woman can submit, and can increase the risks in pregnancy and cause problems not only for the fetus as also for the pr...
The Periconceptional Healthy Dietary Pattern Mitigates Estradiol Response and Increases the Chance of Pregnancy after Conventional IVF/ICSI Treatment
Background: Subfertility rates are increasing worldwide. Nutrition influences natural fertility, but also after assisted reproduction. In addition, the ovarian response after ovarian stimulation treatment possibly influe...
Importance of “Non-Technical Skills” in Improving Quality of MCH Services
We all are aware about the importance of technical knowledge and skills, that are required for effective delivery of the MCH services. Very less is said, taught and discussed about “Non-technical skills”, which have thei...
Postmenopausal Osteoporosis Awareness & Management in Women-An Indian Perspective
Postmenopausal osteoporosis affects millions of women each year jeopardising their healthcare and quality of life. Initial treatment is based on many factors including T-score, fracture risk assessment tool score, and ri...