Simple and Novel Technique of Fixation for Levonorgestrel-Releasing Intrauterine Device for the Treatment of Uterine Adenomyosis

Levonorgestrel-releasing intrauterine device is widely used in the treatment of adenomyosis and heavy menstrual bleeding. For patients with large uterine cavity or abnormal uterine cavity, they might encounter the problem of downward displacement and expulsion of the device during treatment. Herein, this study reported an easy minimally invasive method using GyneFix intrauterine device system to fix levonorgestrel-releasing intrauterine device into the uterine fundal muscle layer. The two ends of the intrauterine devices were firstly bundled together tightly. The suction sheath was inserted into the uterine cavity until reaching the fundus. Then, the bundled intrauterine devices were inserted into the sheath and fixed the GyneFix knot at the uterine fundus following the GyneFix IUD installation method. In this way, the LNG-IUD could be fixed well in the uterine cavity. This outpatient procedure does not require any special preparation or training. Similar content being viewed by others

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The research leading to these results received funding from the Technology Plan Project of Administration of Traditional Chinese Medicine, Jiangxi, China, under Grant Agreement No. SZYYB20232648, and from the Bureau of Science and Technology, Ganzhou, China (208079799014). Author information Authors and Affiliations Corresponding author Ethics declarations Ethics Approval and Consent to Participate This study was approved by the Institutional Review Board of the First Affiliated Hospital of Gannan Medical University. Informed consent was obtained from the patients. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Supplementary Information Below is the link to the electronic supplementary material. Supplementary file1 (MP4 16130 KB) Rights and permissions Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. About this article Cite this article Zhou, J., Han, W., Xie, X. et al. Simple and Novel Technique of Fixation for Levonorgestrel-Releasing Intrauterine Device for the Treatment of Uterine Adenomyosis. Indian J Surg 86, 1259–1261 (2024). https://doi.org/10.1007/s12262-024-04072-3 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s12262-024-04072-3