Evaluation of Hysteroscopic-guided Removal of Intrauterine Device in Shanghai: A Report of Four Dead Cases

ObjectiveTo analyze the possible cause leading to death during the procedure of IUD removal under hysteroscopy and how it could be prevented.MethodsAll (11 110) cases of IUD removal under hysteroscopy performed at 87 hospitals in Shanghai from 2001 to 2007 were reviewed. Four dead cases were reported.ResultsAir embolism was suspected as the cause of death. Associated risk factors included insufficient preoperative preparation, short duration between surgeries, non-standard procedure, careless observation and untimely resuscitation.ConclusionThis emphasizes the necessity of early interventions taken such as prevention, early detection and management of the fatal complications.