Evaluation of patients with uterine perforation after intrauterine device placement and determination of risk factors: A retrospective case-control study

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dc.authorid0000-0001-8468-7038en_US
dc.authorid0000-0002-4215-1371en_US
dc.authorid0000-0001-9142-6127en_US
dc.authorid0000-0002-0755-7480en_US
dc.authorid0000-0002-1680-907Xen_US
dc.authorid0000-0002-6941-6851en_US
dc.contributor.authorGündüz, Reyhan
dc.contributor.authorAğaçayak, Elif
dc.contributor.authorDönmez, Dicle Akkılıç
dc.contributor.authorFındık, Fatih Mehmet
dc.contributor.authorEvsen, Mehmet Sıddık
dc.contributor.authorGül, Talip
dc.date.accessioned2023-01-09T13:20:25Z
dc.date.available2023-01-09T13:20:25Z
dc.date.issued2022en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalıen_US
dc.description.abstractTo determine the risk factors by evaluating patients with uterine perforation after intrauterine devices (IUD) placement. Also, it was to make suggestions and contribute to the literature in order to prevent uterine perforation after the IUDs placement and how we should behave when we encounter these patients.Twenty-two patients with uterine perforation after IUDs placement (patient group) diagnosed and treated at our clinic and 30 patients with IUDs in place in the uterine cavity (control group) were retrospectively ev aluated and compared. IUDs insertion by a midwife and during the breastfeeding and puerperal period significantly increased the frequency of uterine perforation after IUDs placement, while insertion during the menstrual period significantly reduced risk. Uterine perforation after IUDs placement were most frequently localized in the myometrium (54.5%) and the douglas (13.6%). Uterine perforation-related complications were absent in 59.1% of patients. Of patients, 40.9% underwent hysteroscopy, 18.2% laparoscopy. The diagnostic method was ultrasonography alone at a rate of 68.2%. IUDs could be inserted during menstruation where possible, and patients could be informed about the high risk of uterine perforation after IUDs placement associated with the breastfeeding and puerperal periods. We recommend that IUDs be inserted with ultrasonography in this period. Midwives should receive regular training in order to increase their knowledge and experience on this subject. We recommend ultrasonography as the primary d iagnostic method. Those with IUDs embedded in the myometrium can primarily undergo hysteroscopy, and those with IUDs in the abdomen can undergo laparoscopy or laparotomy.en_US
dc.identifier.citationGündüz, R., Ağaçayak, E., Dönmez, D. A., Fındık, F. M., Evsen, M. S., Gül, T. ve diğerleri. (2022). Evaluation of patients with uterine perforation after intrauterine device placement and determination of risk factors: A retrospective case-control study. Eastern Journal of Medicine, 27(2), 264-271.en_US
dc.identifier.doi10.5505/ejm.2022.88155
dc.identifier.endpage271en_US
dc.identifier.issn1301-0883
dc.identifier.issn1339-3886
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85130844774
dc.identifier.scopusqualityQ4
dc.identifier.startpage264en_US
dc.identifier.trdizinid1124296
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1124296
dc.identifier.urihttps://hdl.handle.net/11468/11190
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1124296
dc.identifier.volume27en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorGündüz, Reyhan
dc.institutionauthorAğaçayak, Elif
dc.institutionauthorDönmez, Dicle Akkılıç
dc.institutionauthorFındık, Fatih Mehmet
dc.institutionauthorEvsen, Mehmet Sıddık
dc.institutionauthorGül, Talip
dc.language.isoenen_US
dc.publisherYuzuncu Yil University Faculty of Medicineen_US
dc.relation.ispartofEastern Journal of Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIntrauterine deviceen_US
dc.subjectComplicationen_US
dc.subjectUterine perforationen_US
dc.subjectRisk factorsen_US
dc.titleEvaluation of patients with uterine perforation after intrauterine device placement and determination of risk factors: A retrospective case-control studyen_US
dc.titleEvaluation of patients with uterine perforation after intrauterine device placement and determination of risk factors: A retrospective case-control study
dc.typeArticleen_US

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