Affiliation:
1. Chengdu First People’s Hospital
Abstract
Abstract
Objective: This study aimed to investigate the safety and efficacy of suture fixation of the levonorgestrel-releasing intrauterine device (LNG-IUD) through hysteroscope fortreatment of adenomyosis in patients at high risk of device expulsion.
Methods: 21 patients with adenomyosis were fixed with the LNG-IUD on the uterine wall close to the base of the uterus by hysteroscopy.
Subjects: with adenomyosis who are at high risk of device expulsion.
Results: All 21 patients were successfully fixed with the LNG-IUD on the uterine wall close to the base of the uterus by hysteroscopy. Pictorial Blood Loss Assessment Chart (PBAC) and visual analogue scale (VAS) scores showed a significant decrease after 1 and 3 months after surgery compared with the baseline value. Serious IUD complications including expulsion and perforation were not observed.
Conclusion:Suture fixation of the LNG-IUD through hysteroscope is a safe, effective, and minimally invasive surgical procedure to prevent IUD expulsion for the treatment of adenomyosis in patients who are at high risk of device expulsion.
Publisher
Research Square Platform LLC
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