Novel Hystero-laparoscopic Technique for LNG-IUD Fixation in Women with High Risk of Expulsion and Desiring to Save the Uterus.

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Journal of Obstetrics and Gynecology of India Pub Date : 2023-10-01 Epub Date: 2023-06-19 DOI:10.1007/s13224-023-01788-2
B Ramesh, M S Madhuri, Kiran R Konda, Prajwala S Aradhya, B Jalajakshi
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Abstract

Introduction: LNG-IUD although used extensively for its non-contraceptive indications like abnormal uterine bleeding (AUB), dysmenorrhoea and fibroid uterus, one of the major drawbacks is the high expulsion rates, especially among adenomyotic and fibroid uterus.

Material and methods: Altius Hospitals, Bangalore have developed a new technique of LNG-IUD fixation, which employs hystero-laparoscopy and usage of a long port closure needle with delayed absorbable sutures.

Conclusion: It ensures proper placement and fixation of the LNG-IUD to the uterine cavity, reduces the expulsion rates and has the advantages of being a day care procedure.

Supplementary information: The online version contains supplementary material available at 10.1007/s13224-023-01788-2.

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新型宫腔镜-腹腔镜技术用于LNG-IUD固定术,适用于驱逐和渴望挽救子宫的高危女性。
引言:尽管LNG-IUD因其非避孕适应症如异常子宫出血(AUB)、痛经和子宫肌瘤而被广泛使用,但其主要缺点之一是排出率高,尤其是在子宫腺肌病和子宫肌瘤中。材料和方法:班加罗尔Altius医院开发了一种新的LNG-IUD固定技术,该技术采用子宫腹腔镜和使用延迟可吸收缝线的长端口闭合针。结论:它确保了LNG-IUD在子宫腔的正确放置和固定,降低了排出率,并具有作为日托程序的优势。补充信息:在线版本包含补充材料,可访问10.1007/s13224-023-01788-2。
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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
124
期刊介绍: Journal of Obstetrics and Gynecology of India (JOGI) is the official journal of the Federation of Obstetrics and Gynecology Societies of India (FOGSI). This is a peer- reviewed journal and features articles pertaining to the field of obstetrics and gynecology. The Journal is published six times a year on a bimonthly basis. Articles contributed by clinicians involved in patient care and research, and basic science researchers are considered. It publishes clinical and basic research of all aspects of obstetrics and gynecology, community obstetrics and family welfare and subspecialty subjects including gynecological endoscopy, infertility, oncology and ultrasonography, provided they have scientific merit and represent an important advance in knowledge. The journal believes in diversity and welcomes and encourages relevant contributions from world over. The types of articles published are: ·         Original Article·         Case Report ·         Instrumentation and Techniques ·         Short Commentary ·         Correspondence (Letter to the Editor) ·         Pictorial Essay
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