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Early hysteroscopic removal of intratubal microinserts with urologic stone retrieval forceps.

Early hysteroscopic removal of intratubal microinserts with urologic stone retrieval forceps.

Obstetrics and gynecology (2014-07-09)

Lisa M Goldthwaite, Lindsay Edwards, Kristina Tocce

ABSTRACT

Nickel hypersensitivity reactions can be an indication for the removal of intratubal microinserts used for hysteroscopic sterilization. Although early removal can be attempted hysteroscopically, hysteroscopic grasping forceps may be inadequate to grasp deeply positioned inserts. Three days after hysteroscopic sterilization, the patient presented with a rash consistent with a nickel hypersensitivity reaction. Ten days after placement, we successfully performed hysteroscopic removal of an intratubal microinsert with tri-prong urologic stone retrieval forceps after standard hysteroscopic grasping forceps was unable to reach the deeply positioned device. Within 36 hours of bilateral microinsert removal, all symptoms resolved. In difficult cases, 1-mm tri-prong urologic stone retrieval forceps can be useful for early hysteroscopic removal of intratubal microinserts.

MATERIALS

Product Number

Brand

Product Description

Sigma-Aldrich

Nickel, powder, <50 μm, 99.7% trace metals basis

Nickel, pellets, 50g, max. size 10mm, 99.999%

Sigma-Aldrich

Nickel, foil, thickness 0.1 mm, 99.98% trace metals basis

Sigma-Aldrich

Nickel, foil, thickness 0.5 mm, 99.98% trace metals basis

Nickel, foil, 100x100mm, thickness 1.0mm, as rolled, 99.99+%

Sigma-Aldrich

Nickel, nanopowder, <100 nm avg. part. size, ≥99% trace metals basis

Nickel, foil, light tested, 100x100mm, thickness 0.025mm, 99.9%

Nickel, wire reel, 5m, diameter 0.025mm, as drawn, 99.98%

Nickel, foil, 5m coil, thickness 0.05mm, annealed, 99%

Nickel, wire reel, 0.1m, diameter 0.75mm, as drawn, 99.99+%

Nickel, foil, 0.5m coil, thickness 0.025mm, 99.9%

Nickel, rod, 500mm, diameter 2.0mm, 99.99+%

Sigma-Aldrich

Nickel, wire, diam. 0.5 mm, ≥99.9% trace metals basis

Nickel, foil, 0.5m coil, thickness 0.0075mm, 99.95%

Nickel, foil, 0.2m coil, thickness 0.005mm, as rolled, 99.9%

Nickel, rod, 200mm, diameter 10.0mm, 99.99+%

Nickel, foil, light tested, 100x100mm, thickness 0.05mm, 99.9%

Nickel, foil, 0.5m coil, thickness 0.0125mm, 99.9%

Nickel, foil, not light tested, 300x300mm, thickness 0.0125mm, 99.9%

Nickel, foil, not light tested, 25x25mm, thickness 0.001mm, 99.95%

Nickel, foil, 1m coil, thickness 0.075mm, annealed, 99%

Sigma-Aldrich

Nickel, rod, diam. 6.35 mm, ≥99.99% trace metals basis

Nickel, mesh, 30x30mm, nominal aperture 0.34mm, thickness 0.025mm, wire diameter 0.041mm, 70 wires/inch, open area 80%, electro-formed mesh, 99.9%

Nickel, rod, 1000mm, diameter 3.0mm, 99%

Nickel, foil, 0.5m coil, thickness 0.125mm, annealed, 99%

Nickel, foil, 10mm disks, thickness 0.05mm, 99.9%

Nickel, foil, light tested, 300x300mm, thickness 0.02mm, 99.9%

Nickel, foil, light tested, 300x300mm, thickness 0.025mm, 99.9%

Nickel, wire reel, 5m, diameter 2.0mm, hard, 99.98%

Nickel, foil, light tested, 100x100mm, thickness 0.007mm, 99.95%