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Evaluation of Hysteroscopic-guided Removal of Intrauterine Device in Shanghai: A Report of Four Dead Cases
Authors:Jian-zhong KANG  Chun-xia MENG  Xiao-ai LIU  Li-nan CHENG
Institution:1. Department of Clinical Science and Education, Internal medicine, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden;2. Centre for Pharmacoepidemiology, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden;3. Clinical Epidemiology Unit, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden;1. Department of Internal Medicine and Chest Diseases Brest University Hospital, Brest, F-29609 France;2. EA 3878, Brest University, Brest, F-29609 France;3. INSERM CIC 0502 Clinical Investigation Center, Brest University Hospital, Brest, F-29609 France;1. Department of Obstetrics & Gynecology, Northwestern University, Feinberg School of Medicine, 676 N. St. Clair Street, Suite 1315, Chicago, IL 60611;2. Department of Preventative Medicine, Northwestern University, Feinberg School of Medicine, 680 N. Lake Shore Drive, Suite 1400, Chicago, IL 60611;1. Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA;2. Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA;3. Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA
Abstract:Objective To analyze the possible cause leading to death during the procedure of IUD removal under hysteroscopy and how it could be prevented.Methods All(11 110)cases of IUD removal under hysteroscopy performed at 87hospitals 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.
Keywords:removal of an intrauterine device  hysteroscopy  air embolism  death
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