Adoni A, Ben Chetrit A
Department of Obstetrics and Gynecology, Hadassah University Hospital, Mt. Scopus Jerusalem, Israel.
Contraception. 1991 Jan;43(1):77-81. doi: 10.1016/0010-7824(91)90128-3.
The generally accepted indications for removal of an intra-abdominal intrauterine device (IUD) are: a) a closed variety of IUD, b) medicated IUDs with copper or hormone release, and c) a medico-legal or psychological problem. A perforated IUD can be left in the peritoneal cavity if it is made of non-irritating plastic. The copper IUD causes adhesions, but these lead to few cases of serious complications. The reason for removal of the IUD stems only from the fear of adhesion formation. Our experience, supported by the literature, leads us to believe that this indication should no longer be accepted.
取出腹腔内宫内节育器（IUD）的普遍公认指征为：a）封闭型IUD，b）含铜或释放激素的药物型IUD，以及c）医疗法律或心理问题。如果穿孔的IUD由无刺激性塑料制成，则可留在腹腔内。含铜IUD会导致粘连，但由此引发严重并发症的情况很少。取出IUD的原因仅仅是担心形成粘连。我们的经验以及文献支持使我们认为，这一指征不应再被接受。
