{"title":"宫腔镜下取出嵌入宫内节育器碎片的手术技术","authors":"SC Spielman, C Crifase, A Dadrat, A Oshinowo","doi":"10.1016/j.jmig.2025.09.122","DOIUrl":null,"url":null,"abstract":"<div><h3>Study Objective</h3><div>Demonstrate various hysteroscopic techniques that can be utilized for successful removal of a deeply embedded IUD arm</div></div><div><h3>Design</h3><div>Case report</div></div><div><h3>Setting</h3><div>OR with patient in dorsal lithotomy position</div></div><div><h3>Patients or Participants</h3><div>29 year old G0 who originally presented for copper IUD removal and one IUD arm was retained.</div></div><div><h3>Interventions</h3><div>Various imaging techniques to locate the IUD arm as well as both in office and OR hysteroscopy</div></div><div><h3>Measurements and Primary Results</h3><div>IUD arm was successfully removed utilizing hysteroscopic morcellator and sharp/blunt dissection</div></div><div><h3>Conclusion</h3><div>We demonstrate how a hysteroscopic morcellator can be utilized in addition to sharp and blunt dissection to identify and remove a deeply embedded IUD arm.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 11","pages":"Page S28"},"PeriodicalIF":3.3000,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Surgical Techniques for Hysteroscopic Removal of an Embedded IUD Fragment\",\"authors\":\"SC Spielman, C Crifase, A Dadrat, A Oshinowo\",\"doi\":\"10.1016/j.jmig.2025.09.122\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Study Objective</h3><div>Demonstrate various hysteroscopic techniques that can be utilized for successful removal of a deeply embedded IUD arm</div></div><div><h3>Design</h3><div>Case report</div></div><div><h3>Setting</h3><div>OR with patient in dorsal lithotomy position</div></div><div><h3>Patients or Participants</h3><div>29 year old G0 who originally presented for copper IUD removal and one IUD arm was retained.</div></div><div><h3>Interventions</h3><div>Various imaging techniques to locate the IUD arm as well as both in office and OR hysteroscopy</div></div><div><h3>Measurements and Primary Results</h3><div>IUD arm was successfully removed utilizing hysteroscopic morcellator and sharp/blunt dissection</div></div><div><h3>Conclusion</h3><div>We demonstrate how a hysteroscopic morcellator can be utilized in addition to sharp and blunt dissection to identify and remove a deeply embedded IUD arm.</div></div>\",\"PeriodicalId\":16397,\"journal\":{\"name\":\"Journal of minimally invasive gynecology\",\"volume\":\"32 11\",\"pages\":\"Page S28\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-10-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of minimally invasive gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1553465025004595\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of minimally invasive gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1553465025004595","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Surgical Techniques for Hysteroscopic Removal of an Embedded IUD Fragment
Study Objective
Demonstrate various hysteroscopic techniques that can be utilized for successful removal of a deeply embedded IUD arm
Design
Case report
Setting
OR with patient in dorsal lithotomy position
Patients or Participants
29 year old G0 who originally presented for copper IUD removal and one IUD arm was retained.
Interventions
Various imaging techniques to locate the IUD arm as well as both in office and OR hysteroscopy
Measurements and Primary Results
IUD arm was successfully removed utilizing hysteroscopic morcellator and sharp/blunt dissection
Conclusion
We demonstrate how a hysteroscopic morcellator can be utilized in addition to sharp and blunt dissection to identify and remove a deeply embedded IUD arm.
期刊介绍:
The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.