Remove IUD - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Gynecology

For visualization of intrauterine contraceptive in cases when their long-term presence is suspected tight attachment or ingrowth contraceptive in the uterine wall into the uterine cavity, and in the absence of contraceptive use yarn control hysteroscopy.

Hysteroscopy in these cases to localize the intrauterine contraceptive in the uterus, to clarify the extent and location of growing into the uterine wall, and thus determine the tactics of reference, depending on the clinical situation.

hysteroscopic visible part of the IUD have the usual form at short their presence in the uterus and, in cases of prolonged stay in the uterus, they are covered with fibrinous deposits, endometrium and even embedded in the myometrium.

Technique removing intrauterine:

operations are conducted in a large operating room, where you can perform a laparoscopy or laparotomy, if necessary.It is better to carry out this operation on 5-7 days of the menstrual cycle.Cervical channel extend as usual for hysteroscopy to number 11

.5 expander Gegara.

Enter the hysteroscope into the uterine cavity.When a freely lying Navy seized it and remove inserted into the operating channel of the hysteroscope forceps.

In cases where the Navy discovered buried in the uterine wall, trying to remove the contraceptive through the cervical canal should be under the control of laparoscopy.When Navy

growing into the uterine wall it is removed or hysteroscopic forceps or curette or using aborttsanga.If most of the Navy's grown into the uterus wall and there are no conditions for its removal from the abdominal cavity, it should be evaluating the clinical situation, to resolve the issue of the need to continue efforts to remove or about the possibility of leaving the Navy.

When penetration most of the Navy in the free abdominal cavity it is removed by laparoscopic forceps from the abdomen.

If the Navy is located in close proximity to major blood vessels, ureter or bladder, you should decide on the removal of the IUD at laparotomy.

Bleeding from the uterus after removal of ingrown Navy, as a rule, do not happen.Therefore postoperative any special measures are not required.