Evaluation of Hysteroscopic-guided Removal of Intrauterine Device in Shanghai： A Report of Four Dead Cases

Objective To analyze the possible cause leading to death during the procecture oy IUD removal under hysteroscopy and how it could be prevented. Methods All （11 110） cases of IUD removal under hysteroscopy performed at 87 hospitals in Shanghai from 2001 to 2007 were reviewed. Four dead cases were rep...

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Bibliographic Details
Published in:Journal of reproduction and contraception 2010-06, Vol.21 (2), p.111-116
Main Authors: KANG, Jian-zhong, MENG, Chun-xia, LIU, Xiao-ai, CHENG, Li-nan
Format: Article
Language:English
Subjects:
air embolism
death
hysteroscopy
removal of an intrauterine device
宫内节育器
术前准备
死亡病例
病例报告
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Summary:Objective To analyze the possible cause leading to death during the procecture oy IUD removal under hysteroscopy and how it could be prevented. Methods All （11 110） cases of IUD removal under hysteroscopy performed at 87 hospitals in Shanghai from 2001 to 2007 were reviewed. Four dead cases were reported. Results Air embolism was suspected as the cause of death. Associated risk factors included insufficient preoperative preparation, short duration between surgeries, non-standard procedure, careless observation and untimely resuscitation. Conclusion This emphasizes the necessity of early interventions taken such as prevention, early detection and management of the fatal complications.
ISSN:1001-7844
DOI:10.1016/S1001-7844(10)60019-3