This video demonstrates a case in which an intrauterine device (IUD) IUD was trapped--not in the uterine cavity and not outside the uterine wall, but within the muscle of the uterus. It was extracted under laparoscopic guidance.
This patient had severe adhesions of the bladder and uterus following an extensive abdominal myomectomy. The bladder injury was recognized at the time of hysterectomy. A two layer closure is demonstrated using laparoscopic intracorporeal knot tying techniques.