Hysteroscopic removal of foreign bodies and its method of monitoring

Objective To evaluate transcervical removal of foreign bodies (TCRF) and to estimate the e ffectiveness of its monitoring methods.Methods One hundred and thirteen women were identified as having residual intrauterine d evices (IUD), residual pregnancy products, unabsorbed strings and broken hooks, which were not removed during routine curettage or IUD removal.All patients we re monitored using B ultrasonography while TCRF was performed.Four cases were monitored by laparoscopy simultaneously.One case was monitored by laparoscopic ultrasonography.Results Foreign bodies of one hundred and nine patients were taken out by TCRF.Uterine bleeding, amenorrhoea, discharge, abdominal pain, micturition and hematuria dis appeared postoperatively.Fetal bones embedded into intramural uterin in four c ases were not removed completely.Of these four, one became pregnant 4 months l ater after TCRF and term delivered.One case encountered uterine perforation th at was sutured by laparoscopy.Conclusions TCRF is safe and efficient.Sufficient cervical canal distension, selection of equipment and methods to be used is important for successful TCRF.As a non -invasive and effective monitoring method, B ultrasonography is the first choic e to monitor for TCRF.For patients with high risk factors for uterine perforat ion, laparoscopic monitoring should be done simultaneously.Laparoscopic ultras onography monitoring has both the advantages of B ultrasonography and laparoscop y monitoring, but is invasive and expensive.