Management and outcome of intra-abdominal intrauterine devices

Demir, Fuat; ÖZBAŞAR, Demir; ORAL, Hilmi Baha; Guney, Mehmet

Management and outcome of intra-abdominal intrauterine devices

Mehmet GÜNEY, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Isparta, Türkiye)

Hilmi Baha ORAL, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Isparta, Türkiye)

Fuat DEMİR, (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Isparta, Türkiye)

Demir ÖZBAŞAR (Süleyman Demirel Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Isparta, Türkiye)

Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi

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Yıl: 2006 Cilt: 3 Sayı: 1 Sayfa Aralığı: 56 - 61 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Management and outcome of intra-abdominal intrauterine devices

Öz:

Objektif: Abdominal kaviteye deplase olmuş rahimiçi araçların (RİA) teşhis, takip ve tedavi yöntemlerini değerlendirmek. Planlama: Retrospektif çalışma. Ortam: Bu retrospektif çalışma 1980-2004 yılları arasında Süleyman Demirel Üniversitesi Kadın Hastalıkları ve Doğum Kliniği ile Isparta Kadın ve Çocuk Hastalıkları Hastanesi’nde yapıldı. Hastalar: İntraabdominal RİA’lı 11 hasta. Değerlendirme Parametreleri: İntraabdominal RİA’lı 11 hastanın demografik özellikleri, klinik bulguları, RİA kullanım süreleri ve klinik yaklaşım tiplerini araştırmak. SONUÇ: Ortalama yaş 36.8±1.8 yıl, ortalama RİA kullanım süresi 61.82 ±75.93 ay idi. Tanı yöntemi 5 olguda ultrason, 5 olguda X-ray, ve 1 olguda sistoskopi idi. RİA yerleşim yeri 4 (%36) olguda rektosigmoid, 2 (%18) olguda ligamentum latum, 3 (%27) olguda ince barsaklar, 1 (%9) olguda vezikouterin boşluk, 1 (%9) olguda mesane idi. RİA tipi 7 (%63) olguda Cupper-T 380 A, 2 (%18) olguda Lippes-loop, 2 (%18) olguda Multiload 375 idi. Olguların % 45’i asemptomatik idi. RİA çıkarılması 8 (%72) olguda laparoskopi, 2 (%18) olguda laparotomi, 1 (%9) olguda laparotomi+sistostomi ile gerçekleştirildi. YORUM: Her nekadar tüm intraabdominal RİA’ları çıkarmış olsak da asemptomatik deplase RİA’ları çıkarmak yoruma açıktır. Cerrahi yaklaşım adhezyon oluşumunu önlemeden ziyade arttırabilmektedir.

Anahtar Kelime: Rahim içi araçlar Doğum kontrolü Laparoskopi Laparotomi Uterus delinmesi Geriyedönük çalışma

Konular: Eğitim, Özel

İntraabdominal rahimiçi araçların takip ve sonuçları

Öz:

OBJECTIVE: To evaluate the diagnostic methods, management and treatment for intrauterine devices being displaced into the abdominal cavity. Design: Retrospective clinical study Setting: This retrospective study was conducted between 1980 and 2004 at the Süleyman Demirel University, Faculty of Medicine, Department of Obstetrics and Gynecology and Isparta Women’s and Children’s Hospital. Patients: Eleven patients with displaced intra-abdominal intrauterine device Main Outcome Measures: Eleven patients with displaced intra-abdominal intrauterine device were evaluated with respect to the demographic characteristics, clinical manifestation, state of current IUD use, duration of IUD use and type of clinical management. RESULTS: The mean age was 36.8±1.8 years, and the mean duration of IUD use was 61.82 ±75.93 months. The diagnostic method was ultrasonography in 5 cases, X-ray examination in 5 cases and cystoscopy in 1 case. The IUD location was the rectosigmoid in 4 cases (36%), the ligamentum latum in 2 cases (18%), the small bowel in 3 cases (27%), vesicouterine space in 1 case (9%) and the bladder in 1 case (9%). The type of IUDs was Cu-T 380A in 7 patients (63%), Lippes- Loop in 2 patients (18%) and Multiload 375 in 2 patients (18%). 45% of the patients were asymptomatic. Removal was performed by laparoscopy (n=8, 72%), laparotomy (n=2, 18%), laparotomy+cystostomy (n=1, 9%). CONCLUSIONS: Although we removed all the intraabdominal intrauterine devices, the removal of an asymptomatic displaced IUD is controvertial. A surgical intervention may cause more adhesions rather than preventing adhesion formation.

Anahtar Kelime: Laparotomy Uterine Perforation Retrospective Studies Intrauterine Devices Contraception Laparoscopy

Konular: Eğitim, Özel

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Boudineau M,Multon O, Lopes P. Contraception par dispositif intra-uterin. In EncyclopedieMedico-Chirurgicale. Paris: Elsevier, 2001; 738: A- 09.
2. Hieu DT, Van HT, Donaldson PJ, Nga QL. The pattern of IUD use in Vietnam. Internat Fam Plann Persp 1995; 21: 6-10.
3. Thonneau P, Goulard H, Goyaux N..Risk factors for intrauterine device failure: a rewiev. Contraception 2001; 64: 33- 7.
4. Harrison-WoolrychM,Ashton J, Coulter D. Uterine perforation on intrauterine device insertion: is the incidence higher than previously reported? Contraception 2003; 67: 53- 6.
5. Søgaard K. Unrecognized perforation of the uterine and rectal walls by an intrauterine contraceptive device. Acta Obstet Gynecol Scand 1993; 72: 55- 6.
6. Zakin D, Stern WZ, Rosenblatt R. Complete and partial uterine perforation and embedding following insertion of intrauterine devices. I. Classification, complications, mechanism, incidence, and missing string. Obstet Gynecol Surv 1981; 36: 335- 53.
7. mith PA, EllisCJ, SparksRAandGuillebaud J.Deaths associated with intrauterine contraceptive devices in the United Kingdom between 1973 and 1983. Br Med J 1983; 287: 1537- 8.
8. Rogers K, Hughes LE. Rectal strictures associated with the intrauterine contraceptive device. Br J Surg 1982; 69:151- 2.
9. Patchell RD, Rectouterine fistula associated with the Cu-T intrauterine contraceptive device. Am J Obstet Gynecol 1976; 126: 292- 3.
10. Treiman K, Liskin L, Kols A, Rinehart W. IUD - An update. Population Reports. Series B, No. 6. Baltimore Johns Hopkins University School of Public Health, Population Information Programme; 1995.
11. Gorsline JC,Osborne NG.Management of themissing contraceptive device: report of a case.Am J Obstet Gynecol 1985; 153: 228- 9.
12. Millen A, Austin F, Bernstein GS. Analysis of 100 cases of missing IUD strings. Contraception 1978; 5: 485- 95.
13. Andersson K, Ryde-Blomqvist E, Lindell K, Odlind V,Milsom I. Perforations with intrauterine devices. Report froma Swedish survey. Contraception 1998; 57: 251- 5.
14. VaillantHW, Cummins GTM, RichartRM, BarronBA. Insertion of Lippes Loop by nurse-midwives and doctors. Br Med J 1968; 3: 671- 3.
15. Newton JR, Barnes G, Cameron J, Goldman P, Elias J. Nurse specialists in family planning. Br Med J 1976; 1: 950- 2.
16. Mosher WD, Pratt WF. Contaceptive use in the Unıted States, 1973-1988, advance data from vital and health statistics: no. 182.Hyattsville, MD: National Center for Health Statistics,1990.
17. Heartwell SP, Schlesselman S. Risk of uterine perforation among users of intrauterine devices. Obstet Gynecol 1983; 61: 31- 6.
18. Udesky IC. Ovulation in lactatingwomen.AmJ ObstetGynecol 1950; 49: 843- 6.
19. El-MinawiMF, Foda MS. Postpartum lactation ammenorrhea. Am J Obstet Gynecol 1971; 111: 17- 20.
20. Tatum HJ, Connel EB. Intrauterine contraceptive devices. In: Filshie M, Guillebaud J, editors. Contraception science and practice. 1st ed. London: Butterworth & Co, 1989: 144- 71.
21. Bacha K, BenAM, Ben HL, Ghaddab S,Ayed M. Intrauterine device migrating to the bladder. Prog Urol 2001; 11: 1289-91.
22. McKenna PJ,Mylotte MJ. Laparoscopic removal of translocated intrauterine contraceptive devices. Br J Obstet Gynaecol 1982; 89: 163- 5.
23. FerchiouM, Zhioua F, HasnaouiM, et al. Laparoscopic surgery of an intraperitoneal intrauterine device. Rev Fr Gynecol Obstet 1995; 90: 409- 11.
24. Silva PD, Larson KM. Laparoscopic removal of a perforated intrauterine device from the perirectal fat. JSLS 2000; 4: 159-62.
25. PhupongV, Sueblinvong T, Pruksananonda K,Taneepanichskul S, Triratanachat S. Uterine perforation with Lippes Loop intrauterine device-associated actinomycosis. Contraception 2000; 61: 347- 50.
26. WHO.Mechanismof action , safety, and efficacy of intrauterine devices. Geneva: World Health Organization, 1987: 48- 63.
27. International Planned Parenthood (IPPF). Internationalmedical advisory panel meetings. IPPF Med Bull 1987; 21: 3- 8.
28. Pirwany IR, Boddy K. Colonic fistula caused by a previously inserted intrauterine device.A case report. Contraception 1997; 56: 337- 9.
29. Adoni A, Ben Chetrit A. The management of intrauterine devices following uterine perforation. Contraception 1991; 43: 77- 81.
30. Robinson RE. Copper intrauterine devices in the abdomen. Br J Med 1978; 2: 1068- 71.
31. Roberts JM, Ledger WJ. Operative removal of intraperitoneal intrauterine contraceptive devices - a reappraisal.Am J Obstet Gynecol 1972; 112: 863- 5.
32. Markovitch O, Klein Z, Gidoni Y, Holsinkerg M, Beyth Y. Extrauterine mislocated IUD: is surgical removal mandatory? Contraception 2002; 66: 105- 8.

APA	Guney M, ORAL H, Demir F, ÖZBAŞAR D (2006). Management and outcome of intra-abdominal intrauterine devices. , 56 - 61.
Chicago	Guney Mehmet,ORAL Hilmi Baha,Demir Fuat,ÖZBAŞAR Demir Management and outcome of intra-abdominal intrauterine devices. (2006): 56 - 61.
MLA	Guney Mehmet,ORAL Hilmi Baha,Demir Fuat,ÖZBAŞAR Demir Management and outcome of intra-abdominal intrauterine devices. , 2006, ss.56 - 61.
AMA	Guney M,ORAL H,Demir F,ÖZBAŞAR D Management and outcome of intra-abdominal intrauterine devices. . 2006; 56 - 61.
Vancouver	Guney M,ORAL H,Demir F,ÖZBAŞAR D Management and outcome of intra-abdominal intrauterine devices. . 2006; 56 - 61.
IEEE	Guney M,ORAL H,Demir F,ÖZBAŞAR D "Management and outcome of intra-abdominal intrauterine devices." , ss.56 - 61, 2006.
ISNAD	Guney, Mehmet vd. "Management and outcome of intra-abdominal intrauterine devices". (2006), 56-61.

APA	Guney M, ORAL H, Demir F, ÖZBAŞAR D (2006). Management and outcome of intra-abdominal intrauterine devices. Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi, 3(1), 56 - 61.
Chicago	Guney Mehmet,ORAL Hilmi Baha,Demir Fuat,ÖZBAŞAR Demir Management and outcome of intra-abdominal intrauterine devices. Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi 3, no.1 (2006): 56 - 61.
MLA	Guney Mehmet,ORAL Hilmi Baha,Demir Fuat,ÖZBAŞAR Demir Management and outcome of intra-abdominal intrauterine devices. Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi, vol.3, no.1, 2006, ss.56 - 61.
AMA	Guney M,ORAL H,Demir F,ÖZBAŞAR D Management and outcome of intra-abdominal intrauterine devices. Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi. 2006; 3(1): 56 - 61.
Vancouver	Guney M,ORAL H,Demir F,ÖZBAŞAR D Management and outcome of intra-abdominal intrauterine devices. Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi. 2006; 3(1): 56 - 61.
IEEE	Guney M,ORAL H,Demir F,ÖZBAŞAR D "Management and outcome of intra-abdominal intrauterine devices." Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi, 3, ss.56 - 61, 2006.
ISNAD	Guney, Mehmet vd. "Management and outcome of intra-abdominal intrauterine devices". Uzmanlık Sonrası Eğitim ve Güncel Gelişmeler Dergisi 3/1 (2006), 56-61.