Abdominal Foreign Body Extraction through Combined Gynecological Endoscopic Procedures

Abstract

Introduction: Combined gynecological endoscopic procedures are a technical advance in minimally invasive approaches, which interrelate the advantages of laparoscopy and hysteroscopy. These procedures expand the use of minimally invasive surgery and improve safety, precision and efficacy in the treatment of gynecological pathologies.
Objective: To report clinical case to which gynecological endoscopic procedures combined for the extraction of a foreign body in the same surgical time were performed.
Case report: This is the case of a 36 -year -old patient, assisted in the Gynecology Service at National Center for Minimum Access Surgery, Havana, Cuba. She had pelvic pain and intermittent transvaginal bleeding after evacuation of the uterine cavity of an unwanted pregnancy, by menstrual regulation method, there was high suspicion of fractured cannula. Hysteroscopic procedure is performed which revealed abundant endometrial cavity inflammatory tissue (endometritis) and hemorrhagic-looking tissue. Several biopsies were taken. There was no foreign body in uterine cavity. For high probability of the cannula fracture, the diagnostic-therapy laparoscopy was carried out at the same surgical time, and it was found fractured aspiration cannula at the distal end, fragment of approximately 4 cm, which was extracted. The patient was discharged with satisfactory evolution.
Conclusions: Combined gynecological endoscopic procedures are feasible, safe, effective and beneficial methods for simultaneous surgical procedures in the same operative act.