1988
DOI: 10.1111/j.1471-0528.1988.tb06487.x
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Retrieval of intrauterine contraceptive devices with missing tails, using Lamicel

Abstract: Preliminary cervical dilatation using Lamicel. followed by relatively painless uterine probing was successful in removing 30 of 31 contraceptive devices that had not been removable in the outpatient clinic. This technique is simple, safe, inexpensive and well tolerated. It can be utilized to retrieve intrauterine contraceptive devices with missing tails whcn other conventional clinic procedures fail.

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Cited by 13 publications
(2 citation statements)
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“…Usually after ultrasound scanning (with a back‐up X‐ray should no device be found in the uterus) and ideally appropriate pretreatment of the cervix, most remaining IUCDs will be removable with the ‘Rocket IUD Retrieving Forceps’ (Johnson et al 1990) or equivalent. Cervical pretreatment has been shown to be beneficial: with ethinyloestradiol 50 jam twice a day orally for five days (Prendiville & Stirrat 1984); Lamicel transcervical dilators (Johnson & Moodley 1988); or with the progesterone antagonist RU 486 (Mifepristone) (Gupta & Johnson 1990). Premedication with mefenamic acid 500 mg (Ponstan) is valuable, but practitioners should have a low threshold for use of local anaesthesia (Guillebaud & Kasonde 1979).…”
Section: Discussionmentioning
confidence: 99%
“…Usually after ultrasound scanning (with a back‐up X‐ray should no device be found in the uterus) and ideally appropriate pretreatment of the cervix, most remaining IUCDs will be removable with the ‘Rocket IUD Retrieving Forceps’ (Johnson et al 1990) or equivalent. Cervical pretreatment has been shown to be beneficial: with ethinyloestradiol 50 jam twice a day orally for five days (Prendiville & Stirrat 1984); Lamicel transcervical dilators (Johnson & Moodley 1988); or with the progesterone antagonist RU 486 (Mifepristone) (Gupta & Johnson 1990). Premedication with mefenamic acid 500 mg (Ponstan) is valuable, but practitioners should have a low threshold for use of local anaesthesia (Guillebaud & Kasonde 1979).…”
Section: Discussionmentioning
confidence: 99%
“…In a trial of IUC removal after Lamicel insertion, about half of women experienced substantial pain, 10% equated the intensity to that of labor pains. The remaining half of women reported they did not have significant pain [17]. Cervical dilation may be achieved by intravaginal placement of misoprostol one to two h prior to retrieval or intracervical placement of laminaria 24 h prior to the IUC retrieval attempt.…”
Section: Pain Controlmentioning
confidence: 99%