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

510033

Sigma-Aldrich

Raney^®-Nickel, W.R. Grace and Co. Raney^® 2400, slurry, in H₂O, active catalyst

510041

Sigma-Aldrich

Raney^®-Nickel, W.R. Grace and Co. Raney^® 4200, slurry, in H₂O, active catalyst

268259

Sigma-Aldrich

Nickel, foil, thickness 0.125 mm, ≥99.9%

267058

Sigma-Aldrich

Nickel, wire, diam. 0.5 mm, ≥99.99% trace metals basis

203904

Sigma-Aldrich

Nickel, powder, <150 μm, 99.99% trace metals basis

268283

Sigma-Aldrich

Nickel, powder, <1 μm, 99.8% trace metals basis

221678

Sigma-Aldrich

Raney^®-Nickel, W.R. Grace and Co. Raney^® 2800, slurry, in H₂O, active catalyst

267007

Sigma-Aldrich

Nickel, foil, thickness 0.25 mm, 99.995% trace metals basis

GF80244884

Nickel, foil, 100x100mm, thickness 3.2mm, as rolled, 99.99+%

767484

Sigma-Aldrich

Nickel, sputtering target, diam. × thickness 2.00 in. × 0.25 in., 99.95% trace metals basis

GF95981383

Nickel, broken cathode squares, 500g, max. size 50mm, 99.8%

357634

Sigma-Aldrich

Nickel, wire, diam. 0.25 mm, ≥99.9%

GF30288539

Nickel, wire reel, 50m, diameter 1.0mm, as drawn, 99%

GF45193697

Nickel, rod, 100mm, diameter 2.0mm, annealed, 99%

GF81996014

Nickel, pellets, 100g, max. size 10mm, 99.99+%

GF90754241

Nickel, rod, 100mm, diameter 40mm, 99%

GF21754100

Nickel, rod, 500mm, diameter 12.7mm, 99.98%

GF35840314

Nickel, wire reel, 5m, diameter 0.5mm, as drawn, 99.99+%

GF17660594

Nickel, wire reel, 1m, diameter 2.0mm, hard, 99.98%

GF44632818

Nickel, foil, light tested, 100x100mm, thickness 0.015mm, 99.9%

GF88419695

Nickel, insulated wire, 50m, conductor diameter 0.025mm, insulation thickness 0.0035mm, polyimide insulation

GF93039633

Nickel, wire reel, 200m, diameter 0.125mm, annealed, 99.98%

GF94031658

Nickel, foil, light tested, 25x25mm, thickness 0.015mm, 99.9%

GF32802511

Nickel, foil, 25mm disks, thickness 0.05mm, as rolled, 99.98%

GF51944665

Nickel, rod, 200mm, diameter 3.0mm, 99%

GF09893302

Nickel, tube, 1000mm, outside diameter 2.4mm, inside diameter 2.248mm, wall thickness 0.076mm, hard, 99.5%

GF80686738

Nickel, foil, 50mm disks, thickness 0.003mm, 99.95%

GF25814077

Nickel, foil, 15mm disks, thickness 0.125mm, annealed, 99%

GF61221989

Nickel, foil, 4mm disks, thickness 0.5mm, as rolled, 100%

GF01381407

Nickel, tube, 100mm, outside diameter 1.8mm, inside diameter 1.6mm, wall thickness 0.1mm, hard, 99.5%