Evaluation of patients with uterine perforation after intrauterine device placement and determination of risk factors: A Retrospective Case-Control Study
The occurrence of uterine perforation due to IUDs can result in contraceptive failure; and adhesion, fistulas, infection, abscess, and the perforation of the surrounding blood vessels, intestine, and bladder due to the migration of the IUD to the peritoneal cavity after uterine perforation (11). Mat...
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Veröffentlicht in: | Eastern Journal Of Medicine 2022, Vol.27 (2), p.264-271 |
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creator | Gündüz, Reyhan Ağaçayak, Elif Akkılıç Dönmez, Dicle Findik, Fatih Mehmet Evsen, Mehmet Sıddık Gül, Talip |
description | The occurrence of uterine perforation due to IUDs can result in contraceptive failure; and adhesion, fistulas, infection, abscess, and the perforation of the surrounding blood vessels, intestine, and bladder due to the migration of the IUD to the peritoneal cavity after uterine perforation (11). Material and Methods This retrospective case control study included 22 patients with uterine perforation after IUD placement (patient group) who were diagnosed and surgically treated in the Gynecology and Obstetrics Clinic of a university hospital between January 2012-March 2020 and 30 control patients with IUDs without any complications. The patient group included patients in whom an IUD was not seen in the endometrial cavity and an IUD string was not seen in the cervical ostium on vaginal examination, patients with an IUD found outside the endometrial cavity in the uterine myometrium, serosa or the abdomen, and patients who were operated; the control group included patients whose IUDs were in place in the endometrial cavity with an IUD string visible in the cervical ostium on vaginal examination. Factors determined to be significant regarding the risk of IUD translocation were subjected to multiple linear regression analysis to determine whether they were influenced by parity. |
doi_str_mv | 10.5505/ejm.2022.88155 |
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Material and Methods This retrospective case control study included 22 patients with uterine perforation after IUD placement (patient group) who were diagnosed and surgically treated in the Gynecology and Obstetrics Clinic of a university hospital between January 2012-March 2020 and 30 control patients with IUDs without any complications. The patient group included patients in whom an IUD was not seen in the endometrial cavity and an IUD string was not seen in the cervical ostium on vaginal examination, patients with an IUD found outside the endometrial cavity in the uterine myometrium, serosa or the abdomen, and patients who were operated; the control group included patients whose IUDs were in place in the endometrial cavity with an IUD string visible in the cervical ostium on vaginal examination. Factors determined to be significant regarding the risk of IUD translocation were subjected to multiple linear regression analysis to determine whether they were influenced by parity.</description><identifier>ISSN: 1301-0883</identifier><identifier>EISSN: 1309-3886</identifier><identifier>DOI: 10.5505/ejm.2022.88155</identifier><language>eng</language><publisher>Van: YYU Tip Fakultesi</publisher><subject>Abdomen ; Birth control ; Breastfeeding & lactation ; Cost analysis ; Intrauterine devices ; IUD ; Laparoscopy ; Menstruation ; Midwifery ; Normal distribution ; Parity ; Patients ; Risk factors ; Statistical analysis ; Ultrasonic imaging ; Vagina ; Womens health</subject><ispartof>Eastern Journal Of Medicine, 2022, Vol.27 (2), p.264-271</ispartof><rights>Copyright YYU Tip Fakultesi 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2225-808325f2be006190a7ef173e8894b88b453dc127b389fc17bcf414b4f31242ee3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,4025,27928,27929,27930</link.rule.ids></links><search><creatorcontrib>Gündüz, Reyhan</creatorcontrib><creatorcontrib>Ağaçayak, Elif</creatorcontrib><creatorcontrib>Akkılıç Dönmez, Dicle</creatorcontrib><creatorcontrib>Findik, Fatih Mehmet</creatorcontrib><creatorcontrib>Evsen, Mehmet Sıddık</creatorcontrib><creatorcontrib>Gül, Talip</creatorcontrib><title>Evaluation of patients with uterine perforation after intrauterine device placement and determination of risk factors: A Retrospective Case-Control Study</title><title>Eastern Journal Of Medicine</title><description>The occurrence of uterine perforation due to IUDs can result in contraceptive failure; and adhesion, fistulas, infection, abscess, and the perforation of the surrounding blood vessels, intestine, and bladder due to the migration of the IUD to the peritoneal cavity after uterine perforation (11). Material and Methods This retrospective case control study included 22 patients with uterine perforation after IUD placement (patient group) who were diagnosed and surgically treated in the Gynecology and Obstetrics Clinic of a university hospital between January 2012-March 2020 and 30 control patients with IUDs without any complications. The patient group included patients in whom an IUD was not seen in the endometrial cavity and an IUD string was not seen in the cervical ostium on vaginal examination, patients with an IUD found outside the endometrial cavity in the uterine myometrium, serosa or the abdomen, and patients who were operated; the control group included patients whose IUDs were in place in the endometrial cavity with an IUD string visible in the cervical ostium on vaginal examination. Factors determined to be significant regarding the risk of IUD translocation were subjected to multiple linear regression analysis to determine whether they were influenced by parity.</description><subject>Abdomen</subject><subject>Birth control</subject><subject>Breastfeeding & lactation</subject><subject>Cost analysis</subject><subject>Intrauterine devices</subject><subject>IUD</subject><subject>Laparoscopy</subject><subject>Menstruation</subject><subject>Midwifery</subject><subject>Normal distribution</subject><subject>Parity</subject><subject>Patients</subject><subject>Risk factors</subject><subject>Statistical analysis</subject><subject>Ultrasonic imaging</subject><subject>Vagina</subject><subject>Womens health</subject><issn>1301-0883</issn><issn>1309-3886</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNo9UMtOwzAQjBBIlMKVsyXOCX7kseFWRbykSkg8zpHjroVLGwfbKeqn8Le4LXDa0czs7GqS5JLRrChocY3LdcYp5xkAK4qjZMIErVMBUB7vMUspgDhNzrxfUsoBcjZJvm83cjXKYGxPrCZDRNgHT75MeCdjQGd6JAM6bd3BJHUkiemDk3_yAjdGRddKKlzHbSL7RSSjujb9f7Qz_oNoqYJ1_obMyDMGZ_2AKpgNkkZ6TBsbY-2KvIRxsT1PTrRcebz4ndPk7e72tXlI50_3j81snirOeZECBcELzTuktGQ1lRVqVgkEqPMOoMsLsVCMV52AWitWdUrnLO9yLRjPOaKYJleH3MHZzxF9aJd2dH082fKy4hWUUObRlR1cKj7tHep2cGYt3bZltN3V38b621397b5-8QPkOXun</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Gündüz, Reyhan</creator><creator>Ağaçayak, Elif</creator><creator>Akkılıç Dönmez, Dicle</creator><creator>Findik, Fatih Mehmet</creator><creator>Evsen, Mehmet Sıddık</creator><creator>Gül, Talip</creator><general>YYU Tip Fakultesi</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>EDSIH</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>2022</creationdate><title>Evaluation of patients with uterine perforation after intrauterine device placement and determination of risk factors: A Retrospective Case-Control Study</title><author>Gündüz, Reyhan ; 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and adhesion, fistulas, infection, abscess, and the perforation of the surrounding blood vessels, intestine, and bladder due to the migration of the IUD to the peritoneal cavity after uterine perforation (11). Material and Methods This retrospective case control study included 22 patients with uterine perforation after IUD placement (patient group) who were diagnosed and surgically treated in the Gynecology and Obstetrics Clinic of a university hospital between January 2012-March 2020 and 30 control patients with IUDs without any complications. The patient group included patients in whom an IUD was not seen in the endometrial cavity and an IUD string was not seen in the cervical ostium on vaginal examination, patients with an IUD found outside the endometrial cavity in the uterine myometrium, serosa or the abdomen, and patients who were operated; the control group included patients whose IUDs were in place in the endometrial cavity with an IUD string visible in the cervical ostium on vaginal examination. Factors determined to be significant regarding the risk of IUD translocation were subjected to multiple linear regression analysis to determine whether they were influenced by parity.</abstract><cop>Van</cop><pub>YYU Tip Fakultesi</pub><doi>10.5505/ejm.2022.88155</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Birth control Breastfeeding & lactation Cost analysis Intrauterine devices IUD Laparoscopy Menstruation Midwifery Normal distribution Parity Patients Risk factors Statistical analysis Ultrasonic imaging Vagina Womens health |
title | Evaluation of patients with uterine perforation after intrauterine device placement and determination of risk factors: A Retrospective Case-Control Study |
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