Microinsert Nonincisional Hysteroscopic Sterilization

Cooper, Jay M.; Carignan, Charles S; Cher, Daniel; Kerin, John F.

doi:10.1097/00006250-200307000-00014

Cited by 69 publications

(137 citation statements)

References 18 publications

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“…4 Furthermore, our case highlights the importance of follow-up HSG. Given the fact that uterine or fallopian tube perforation may not be detected at the time of hysteroscopic placement of the Essure microinsert, follow-up HSG serves as an important imaging tool to confirm proper microinsert placement and tubal occlusion.…”

mentioning

confidence: 61%

“…2 The Essure system (Conceptus, Mountain View, California) uses microinserts that are placed by hysteroscopy into the proximal portions of each fallopian tube, where they induce fibrotic tubal occlusion. 3,4 Despite its safety and technical feasibility, complications are known to occur in up to 3% of women undergoing this method of permanent sterilization. 4 Perforation of the uterus or fallopian tube during microinsert placement, with subsequent migration of the microinsert, is a well-documented complication that may or may not cause symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Despite its safety and technical feasibility, complications are known to occur in up to 3% of women undergoing this method of permanent sterilization. 4 Perforation of the uterus or fallopian tube during microinsert placement, with subsequent migration of the microinsert, is a well-documented complication that may or may not cause symptoms. 4 -6 We searched PubMed, Ovid, Embase, and Google Scholar for all English-language articles published between 2000 and 2013 using the following search terms: Essure, small bowel, complications, and migration.…”

Section: Introductionmentioning

confidence: 99%

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Asymptomatic Serosalized Essure Microinsert in the Distal Ileum

Pereira

Grias

Badia

2014

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confidence: 61%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Asymptomatic Serosalized Essure Microinsert in the Distal Ileum

Pereira

Grias

Badia

2014

CRSLS

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“…Este método de esterilización permanente ha sido aprobado por la Comunidad Europea (febrero 2001) y por la FDA (noviembre 2002), debido a su demostrada seguridad y efectividad (11,12,(14)(15)(16)(17)(18).…”

Section: Discussionunclassified

Nuevo Método De Esterilización Ambulatoria Y Permanente Con Técnica Histeroscópica, Essure

et al. 2005

Rev. chil. obstet. ginecol.

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RESUMENObjetivo: Presentamos nuestra experiencia en la inserción de un nuevo método de esterilización permanente vía histeroscópica, Essure. Se revisa el procedimiento de inserción, complicaciones, tolerancia, grado de satisfacción y aceptación de usuaria. Método: Entre enero y febrero de 2005 se realizaron 5 esterilizaciones con Essure en la Unidad de Ginecología y Obstetricia de Clínica Las Condes. Resultados: Se colocó el dispositivo en ambas trompas exitosamente en todas las pacientes. Rango de tiempo operatorio: 10-30 minutos. No hubo complicaciones intraoperatorias. Todas expresaron buena tolerancia y un alto grado de satisfacción frente al procedimiento de inserción histeroscópico. Lo recomendarían por su rapidez, carácter ambulatorio y ausencia de dolor. Durante el postoperatorio un caso presentó metrorragia leve y algia pélvica moderada. Conclusiones: Nuestra primera experiencia en la inserción del dispositivo intra tubario mostró ser un procedimiento bien tolerado y con buena aceptación por las pacientes.PALABRAS CLAVES: Esterilización permanente, dispositivo intra tubario, histeroscopía, esterilización ambulatoria SUMMARYObjective: We presented our experience in Essure insertion, a new hysteroscopic permanent sterilization method. We reviewed insertion procedure, complications, degree of tolerance and acceptance by user. Method: Between January and February 2005 five sterilizations cases with Essure were made in Las Condes Clinic. Results: The device in both tubes in all women was placed. Operative time was between 10 and 30 minutes. Intraoperative complications did not appear. All patients expressed very good tolerance and a high degree of satisfaction with insertion procedure. The reason because they would recommend it was: rapidity, ambulatory and absence of pain. During postoperative time one case presented weighs uterus bleeding and moderate pain. Conclusion: Our first experience in hysteroscopic intra Fallopian tube device insertion showed a procedure with very good tolerance and acceptance by the patients.KEY WORDS: Permanent sterilization, intra Fallopian tube device, hysteroscopy, ambulatory sterilization Casos Clínicos INTRODUCCIÓNLa esterilización tubaria ha sido el método de anticoncepción permanente más utilizado en el mundo (1, 2). Aprovechando las bondades de la cirugía mínimamente invasiva, actualmente se realiza mayoritariamente por vía laparoscópica (3, 4). Sin embargo, al igual que la esterilización tubaria efectuada por minilaparatomía abdominal, se debe exponer a la paciente a incisiones abdominales y anestesia, las cuales no están exentas del riesgo de complicaciones (5, 6).

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“…The transcervical approach is an alternative to incisional procedures for interval tubal sterilization eliminating surgery and general anesthesia. However, development of a safe and effective transcervical method of sterilization is a challenging task [1], as it requires both reliable method of tubal occlusion and actuator for its safe delivery and effective deployment.…”

Section: Introductionmentioning

confidence: 99%