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Re: 25 YEAR OLD LIPPES LOOPFrom: Jason Gardosi (jason.gardosi@nottingham.ac.uk)Tue Apr 8 12:36:20 1997
At 12:19 08/04/97 -0500, Ed Ryan wrote: >A new case for the list. 52 yr old with Lippes loop for 25 years. No >problems. >She is new patient and diag hysterscope shows lippes on posterior wall. >unable to remove in office. Did not have a Knitting type needle, but all >long >forceps were unsucessful in grasping due to jaws and hinge configuration. There is a good IUD removing forceps with the hinge inside its 3-4 mm flexible canula, so that the jaws open inside the uterine cavity. Made by Zeppelin (16868 GY) and Rocket of London (R29091). I trialed it some time ago on a backlog of referrals for 'lost coils' and succeeded in 41 of 45 cases as an office procedure (Br J Fam Plan 1988;14:91-3). If that fails, I would not proceed to GA - if this IUD did not cause problems in the last 25 years, I doubt whether it will over the next 25. Jason ************************************************* Jason Gardosi MD FRCS MRCOG PRAM (Perinatal Research, Audit & Monitoring) -- Queen's Medical Centre, Nottingham NG7 2UH, U.K. Tel +44 115 9709211 Fax +44 115 9709791 http://www.nottingham.ac.uk/~mgzobgyn/PRAM/
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