Chinese IUD removal techniques in a Chinese population in central Italy

Abstract

Objective: To describe routine techniques and a newly developed approach to the removal of Chinese intrauterine devices (IUDs). Methods: Office records regarding women of Chinese nationality who presented to a tertiary care hospital for IUD removal between January 2007 and March 2012 were retrieved. Their demographic data were reviewed and menstrual/obstetric history, IUD type, and reasons given for removal were recorded. All underwent pelvic transvaginal ultrasound scanning. Results: Of 134 Chinese IUDs, 18 (13.4%) were removed successfully in an office setting using a hook or uterine curette without general anesthesia or cervical dilation. Extraction under brief general anesthesia was performed in 55 (41.0%) cases. A further 61 (45.5%) Chinese IUDs were successfully removed in an office setting using a miniature resectoscope. Four types of Chinese IUDs were removed, the most common being the stainless steel ring (55.7%). Conclusions: All removal procedures were effective and safe. The mini-resectoscope appears to be a safe and effective tool enabling minimally invasive surgery.

Optimizing Total Laparoscopic Hysterectomy for the Geriatric Population: A Practical Case Study and Comprehensive Literature Review

“…Patients are secured in booted stirrups with liberal arm and leg padding to ensure proper positioning and padding of bony prominences in an attempt to maintain skin integrity and limit pressure on peripheral nerves [ 11 ]. Intraoperatively, abdominal entry and pneumoperitoneum are best achieved by utilizing an optical access trocar and a low insufflation pressure of up to 10 mmHg at a low flow rate [ 12 ]. Adjustments to minute ventilation will prevent deleterious effects related to lung compliance, functional residual capacity, and airway pressures [ 13 ].…”

“…Adjustments to minute ventilation will prevent deleterious effects related to lung compliance, functional residual capacity, and airway pressures [ 13 ]. Moreover, the risk of vascular and visceral injuries is significantly increased by utilizing traditional methods of achieving abdominal entry such as the Veress needle and Hasson technique [ 12 ].…”

“…Moreover, the risk of vascular and visceral injuries is significantly increased by utilizing traditional methods of achieving abdominal entry such as the Veress needle and Hasson technique [12].…”

3D Total Laparoscopic Hysterectomy of a Very Large Uterine Myoma in a Super Morbidly Obese Woman of Body Mass Index 60 Kg/m2: A Case Report and a Literature Review

“…This was achieved using a 12 mm bladed trocar under an insufflation pressure of 20 mmHg. Using an optical access trocar can further enhance safety during abdominal entry, significantly lowering the risk of iatrogenic injuries [19].…”