Laparoscopic Removal of a Retroperitoneal Hysteroscopic Microinsert Using Fluoroscopy

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• 作者：Heather Wahl ; MD^a ; ^{hwahl@med.umich.edu} ; Jason Bell ; MD ; MPH ; MS^a ; ^b ; Bethany Skinner ; MD^a ; ^c
• 关键词：Fluoroscopy ; Hysteroscopic microinsert ; Perforation
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2017
• 出版时间：1 January 2017
• 年：2017
• 卷：24
• 期：1
• 页码：174-176
• 全文大小：480 K
• 卷排序：24

文摘

Perforation during placement of hysteroscopic microinserts for permanent sterilization occurs in approximately .9% to 2.6% of women undergoing the procedure. Most of the time perforation results in intraperitoneal placement of the hysteroscopic microinsert requiring laparoscopy or laparotomy for removal of the device. Herein we present a case of hysteroscopic microinsert perforation with subsequent retroperitoneal identification of the device. This is the first such case to our knowledge of retroperitoneal identification and retrieval of a perforated device that required real-time fluoroscopy during laparoscopy.