. A 28-year-old P1L1 had Cu T inserted 2 years back. O/E-Cu-T threads are not seen. USG shows Cu T partly in abdominal cavity. Method of removal is:
**Core Concept**
The question requires knowledge of intrauterine device (IUD) removal techniques, specifically for a Copper T (Cu T) IUD that has become displaced into the abdominal cavity. The correct answer involves understanding the optimal method for safely removing a migrated IUD.
**Why the Correct Answer is Right**
The Copper T IUD is a type of non-hormonal IUD that is commonly used for contraception. When it becomes displaced into the abdominal cavity, it can cause complications such as bowel or bladder perforation, adhesions, and peritoneal inflammation. The ideal method of removal in such cases is under general anesthesia, using a laparoscopic approach, which allows for a controlled and safe extraction of the device. This method also enables the surgeon to assess and repair any potential damage to surrounding tissues.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is incorrect because it does not specify a method of removal and is too vague. It does not address the complications associated with a migrated IUD.
* **Option B:** This option is incorrect because it does not provide a clear method of removal and may not be suitable for a migrated IUD.
* **Option D:** This option is incorrect because it may not be the safest or most effective method for removing a migrated IUD, especially if it is not under general anesthesia.
**Clinical Pearl / High-Yield Fact**
When removing a migrated IUD, it is essential to use general anesthesia and a laparoscopic approach to minimize the risk of complications and ensure a safe extraction.
**Correct Answer: C. Laparoscopic removal under general anesthesia**