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Comment on ‘Ultrasound-guided retrieval of lost intrauterine devices using fine grasping forceps: a case series’
  1. Abha Govind, MFSRH, FRCOG*
  1. *Corresponding author
  1. Dina Rayamajhi, MBBS, DFSRH
  1. Consultant Obstetrician and Gynaecologist, North Middlesex University Hospital NHS Trust, London, UK; abhagovind@aol.com
  2. Speciality Doctor in Sexual and Reproductive Health, Whittington Health NHS Trust, St Anne's Hospital, London, UK; Dina.Rayamajhi@nhs.net

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We enjoyed reading the article by Moro et al.1 on their case series of the ultrasound-guided retrieval of lost intrauterine contraceptive devices using fine hysteroscopic grasping forceps.

Like all contraception clinics we have our share of referrals with lost intrauterine devices (IUDs) and levonorgestrel intrauterine systems (IUSs). We scan all such women first. We then use a thread retriever and/or Spencer Wells artery forceps for blind retrieval as the first step in all cases. When this is unsuccessful we have been performing such retrievals in the outpatient contraceptive clinic setting under intracervical block (2 ml 1% lidocaine at 12 …

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