Essure® Transcervical Sterilization Combined with NovaSure® Endometrial Ablation: A Perihysterectomy Safety Study

Garza-Leal, J.; Hernandez, I.; Castillo, L.; Bailey, Nathanael G.; Price, P.C.; Coad, J.E.

doi:10.1016/j.jmig.2008.09.166

Cited by 5 publications

(4 citation statements)

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“…[7][8][9] Garza et al presented data regarding the use of NovaSure ablation after placement of Essure micro-inserts at the 2008 American Association of Gynecologic Laparoscopists (AAGL) meeting. 9 In this report, 13 women scheduled to undergo total abdominal hysterectomy had insertion of the Essure micro-insert in one fallopian tube using the contralateral tube as a control. The NovaSure procedure was then performed and thermal imaging was used to monitor serosal temperatures throughout the procedure.…”

Section: Discussionmentioning

confidence: 99%

Safety and Effectiveness of NovaSure^® Endometrial Ablation After Placement of Essure^® Micro-Inserts

Basinski¹,

Price²,

Burkhart³

et al. 2012

Journal of Gynecologic Surgery

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Objective: In-office NovaSure Ò after Essure Ò is a clinical paradigm for which physicians are seeking information. A PubMed search ( July 2011) revealed no peer-reviewed articles describing this treatment sequence. To address the paucity of data on this topic, patients who had undergone Essure followed by NovaSure in a private practice office between July 1, 2008 and December 31, 2009 were evaluated. The objective was to evaluate safety and feasibility of in-office NovaSure after Essure, and to determine if the effectiveness of either procedure was altered by this treatment sequence. Design: This was a retrospective cohort study of 117 women (ages 24-52). Methods: Patients underwent Essure followed by NovaSure in two in-office sessions, separated by a median of 14 days. All patients had menorrhagia and desired permanent sterilization. A postprocedure patient questionnaire was administered to assess satisfaction and perceived effectiveness. Results: Among patients who underwent Essure followed by NovaSure, 83/117 (71%) returned for a 3-month hysterosalpingogram (HSG). Satisfactory placement and tubal occlusion were noted in 79/83 (95%) of these patients. Amenorrhea or spotting was observed in 72/97 (74%) of patients, 22/97 (23%) reported a satisfactory decrease in menstrual flow, and 3/97 (3%) reported ablation failure. Essure followed by NovaSure did not decrease the effectiveness of either procedure, and no adverse events were attributed to the combination of the two procedures. Patients reported high levels of satisfaction with both procedures. Conclusions: In women seeking permanent birth control and menorrhagia reduction, in-office Essure followed by NovaSure appeared to be safe, effective, and associated with high patient satisfaction. (J GYNECOL SURG 28:83)

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Section: Discussionmentioning

confidence: 99%

Safety and Effectiveness of NovaSure^® Endometrial Ablation After Placement of Essure^® Micro-Inserts

Basinski¹,

Price²,

Burkhart³

et al. 2012

Journal of Gynecologic Surgery

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“…The concern about its safety lies in the theoretical risk of transmission of heat energy via the micro‐insert into the serosal layer and further to the intra‐abdominal structures. The mean temperature has been studied and noted to be below 45°C at the serosal layer . No thermal damage into the abdominal structures has ever been reported.…”

Section: Methods Of Hysteroscopic Sterilisationmentioning

confidence: 99%

“…No thermal damage into the abdominal structures has ever been reported. No damage was done to the micro‐insert . The procedure can be performed either in two settings or concomitantly without any complications.…”

Section: Methods Of Hysteroscopic Sterilisationmentioning

confidence: 99%

Update on hysteroscopic sterilisation

Murthy

Edwards

Pathak

2017

The Obstetric & Gynaecologis

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“…Peri-hysterectomy studies showed that the depth of ablation was not altered by the presence of micro-inserts in tubes. No thermal or electrical conduction extend to the serosa [59].…”

Section: Global Endometrial Ablation and Hysteroscopic Sterilisationmentioning

confidence: 99%

Hysteroscopy and contraception

Veersema

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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Essure® Transcervical Sterilization Combined with NovaSure® Endometrial Ablation: A Perihysterectomy Safety Study

Cited by 5 publications

References 0 publications

Safety and Effectiveness of NovaSure^® Endometrial Ablation After Placement of Essure^® Micro-Inserts

Safety and Effectiveness of NovaSure^® Endometrial Ablation After Placement of Essure^® Micro-Inserts

Update on hysteroscopic sterilisation

Hysteroscopy and contraception

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Essure® Transcervical Sterilization Combined with NovaSure® Endometrial Ablation: A Perihysterectomy Safety Study

Cited by 5 publications

References 0 publications

Safety and Effectiveness of NovaSure® Endometrial Ablation After Placement of Essure® Micro-Inserts

Safety and Effectiveness of NovaSure® Endometrial Ablation After Placement of Essure® Micro-Inserts

Update on hysteroscopic sterilisation

Hysteroscopy and contraception

Contact Info

Product

Resources

About

Safety and Effectiveness of NovaSure^® Endometrial Ablation After Placement of Essure^® Micro-Inserts

Safety and Effectiveness of NovaSure^® Endometrial Ablation After Placement of Essure^® Micro-Inserts