Gynefix® tales: cervical perforation and repeated late expulsion with the Gynefix® device

Oswal, Anjana; Oswal, Ashwini; Loizides, Sofronis; Robinson, Christine

doi:10.1080/13625180802011286

Cited by 5 publications

(9 citation statements)

References 5 publications

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“…Finally of those 1821 articles after assessment and removal of duplicates 8 were selected for inclusion in the review, all case reports. In total 8 patients were enrolled in the review .Articles dated from April of 1977 to October of 2018 and all were written in English [6,7,10,11,12,13,14,15] .…”

Section: Resultsmentioning

confidence: 99%

“…The clinical data regarding the case reports of the systematic review are exhibited in table 1. Four of the case reports were published from United Kingdom [6,11,12,15] ,1 from USA [7],1 from India [10],1 from Turkey [13]and 1 from Canada [14] . All the case reports took place in University hospitals [6,7,10,11,12,13,14] apart from one case report which took place in a district hospital [15 ].The mean age of the women enrolled in the review was 35,37±7,781 SD (standard deviation), range (26-47) years.…”

Section: Case Reportsmentioning

confidence: 99%

“…Four of the case reports were published from United Kingdom [6,11,12,15] ,1 from USA [7],1 from India [10],1 from Turkey [13]and 1 from Canada [14] . All the case reports took place in University hospitals [6,7,10,11,12,13,14] apart from one case report which took place in a district hospital [15 ].The mean age of the women enrolled in the review was 35,37±7,781 SD (standard deviation), range (26-47) years. All women were premenopausal; 1 woman (12.5%) was nulligravida [14]; 3 women were reported as multigravida (37,5%) [6,13,15] .…”

Section: Case Reportsmentioning

confidence: 99%

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Perforation of the Cervix by the Strings of An Intrauterine Device (IUD): А Novel Case Report and Systematic Review of the Literature

Peitsidis¹,

Ekizoglou²,

Spiliopoulos³

et al. 2022

Preprint

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Purpose Since their introduction, intrauterine devices (IUDs) have been associated with various complications. Avery rare complication is the perforation of the cervix by the strings of the IUD. Purpose of the current study is to present a novel case of cervical perforation by the strings of a copper IUD and to perform a systematic review of the literature. Materials and Methods The patient a 43-year-old attended the gynecology clinic in order to remove her copper IUD. Speculum examination revealed that both the strings of the IUD perforated the anterior lip of the cervix. Management options were offered, the patient opted for a hysteroscopic removal. We searched the electronic databases: MEDLINE, Cochrane Library,Google Scholar,EBSCO for similar cases. Results Electronic search yielded 1821 articles; 8 were selected for inclusion. Mean age of the women was 35,37±7,781, range (26-47) years. One woman (12.5%) was nulligravida;3 women were multigravida (37,5%). Seven women (87,5%) were asymptomatic. Three IUDs (37,5%) were LNG-IUS; 5 IUDs (62,5%) contained copper. Conclusions Cervical perforation by the strings of IUD is an extremely rare clinical entity. It is asymptomatic in general and in most cases the strings of the IUD may be returned back to the endocervical canal after surgical maneuvers.

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Section: Resultsmentioning

confidence: 99%

Section: Case Reportsmentioning

confidence: 99%

Section: Case Reportsmentioning

confidence: 99%

See 1 more Smart Citation

Perforation of the Cervix by the Strings of An Intrauterine Device (IUD): А Novel Case Report and Systematic Review of the Literature

Peitsidis¹,

Ekizoglou²,

Spiliopoulos³

et al. 2022

Preprint

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“…Fewer side effects, GyneFix ® has high user continuation rates (5). GyneFix ® carries risks of similar complications as other IUDs, including expulsion, failure of implantation, uterine perforation, bowel perforation and bowel resection (6)(7)(8). The incidence of uterine perforation is estimated at between 0.4 and 1.6 per 1000 insertions for copper IUDs (9).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of a Frameless Intrauterine Device-GyneFix Embedded in the Mesentery of the Ileum

Canda

Demir

2017

Gynecol Obstet Reprod Med

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GyneFix ® is a small, frameless, armless, flexible intrauterine device. The proximal end contains a knot that is anchored in the uterine fundus using a special apparatus. A 31-year-old woman presented with abdominal cramps ten days after GyneFix ® insertion. Transvaginal ultrasonography was unsuccessful in locating the intrauterine device therefore a direct X-ray sonogram of the abdomen while standing was performed. The X-ray sonogram of the abdomen showed the intrauterine device in the right quadrant. An exploratory laparoscopy was performed and showed that the intrauterine device perforated the uterine fundus and was embedded in the mesentery of the ileum. The intrauterine device was removed without complication. Although the reported complication rates are very low for GyneFix ® , practitioners should be well trained and should be aware of such complications that could lead to bowel resection. We report the first case of a GyneFix ® -Intrauterine device presenting with uterine perforation and nearly intestinal perforation since its recent introduction into the Turkish market.

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“…53 However, numerous case reports of perforations with this device are published. [54][55][56][57][58][59][60][61][62]…”

Section: Coppermentioning

confidence: 99%

Intrauterine Contraception

Creinin

Hsia

2016

Semin Reprod Med

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The IUD is one of the most effective contraceptives available, with an overall failure rate of less than 1% in the first year AbstractCurrently, there are only two basic types of intrauterine devices (IUDs): copper and hormonal. However, other types of IUDs are under development, some of which are in clinical trials around the world. Continued development has focused on increasing efficacy, longer duration of use, and noncontraceptive benefits. This review discusses currently available intrauterine contraceptives, such as the Cu380A IUD and levonorgestrel-releasing intrauterine systems; novel intrauterine contraceptives that are available in select parts of the world including the intrauterine ball, low-dose copper products, frameless devices, and intrauterine delivery systems impregnated with noncontraceptive medication; and novel products currently in development.

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Gynefix® tales: cervical perforation and repeated late expulsion with the Gynefix® device

Cited by 5 publications

References 5 publications

Perforation of the Cervix by the Strings of An Intrauterine Device (IUD): А Novel Case Report and Systematic Review of the Literature

Perforation of the Cervix by the Strings of An Intrauterine Device (IUD): А Novel Case Report and Systematic Review of the Literature

Laparoscopic Management of a Frameless Intrauterine Device-GyneFix Embedded in the Mesentery of the Ileum

Intrauterine Contraception

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