Abstract
The management of perforation of the uterus by an intrauterine device (IUD) and its removal by laparoscopy is discussed in this paper. The 3 cases presented here deal with uterine perforation by the Dalkon shield. In each case the IUD was inserted 6 weeks postpartum and after perforation each was removed by laparoscopy from the intraperitoneal space without difficulty. It is suggested that Dalkon shields not be inserted before 8 weeks postpartum and that a routine follow-up be done in 2 weeks in an effort to make early diagnosis of perforation.
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