The Perforated Intrauterine Device : Endoscopic Retrieval Eric

Background: Uterine perforation is the most serious complication associated with an intrauterine contracep­ tive device (IUD). Minimally invasive techniques, such as hysteroscopy and advanced laparoscopy, are ideally suited to the diagnosis and surgical management of the perforated IUD. Case Reports: Three cases of uterine perforation caused by an IUD and treated with endoscopic surgery are pre­ sented. In all 3 cases, the IUD was located by using x-rays, ultrasonography, or pelvic magnetic resonance imaging. DiagnostiC laparoscopy was performed to identitY the specific location of the IUD and to remove it. All patients recovered without incident. Conclusion: The gynecologic: surgeon should acquire familiarity with the complications of, and proficiency in managing, perforated and ectopic IUDs by using modern surgical techniques that permit the patient's rapid return to health.