Results of the Insertion of Hysteroscopic Sterilization Devices in a Brazilian Public Hospital

Abstract

Objective To evaluate the insertion of the hysteroscopic intratubal sterilization device for female sterilization concerning the technique and the feasibility. Methods Retrospective study with data collection of medical records of 904 patients who underwent device insertion between January and September 2016 in a public hospital in Rio de Janeiro (Brazil) with data analysis and descriptive statistics. Results In 85.8% of the cases, the uterine cavity was normal, and the most commonly-described findings upon hysteroscopy were synechiae (9.5%). The procedure lasted an average of 3.56 minutes (range: 1 to 10 minutes), and the pain was considered inexistent or mild in 58,6% of the cases, mild or moderate in 32,8%, and severe or agonizing in less than 1% (0.8%) of the cases, based on a verbal scale ranging from 0 to 10. The rate of successful insertions was of 85.0%, and successful tubal placement was achieved in 99.5% of the cases. There were no severe complications related to the procedure, but transient vasovagal reactions occurred in 5 women (0.6%). Conclusion Female sterilization performed by hysteroscopy is a safe, feasible, fast, and well-tolerated procedure. The rates of successful insertions and tubal placements were high. There were few and mild adverse effects during the procedure, and there were no severe complications on the short term.

Nova Lei sobre laqueadura tubária no Brasil e seus impactos sociais: uma revisão de literatura

“…No procedimento por via laparoscópica ou por laparotomia, as trompas de Falópio são localizadas e seguidas até a extremidade fimbriada, sendo realizada a oclusão das trompas por meio de eletrocoagulação, dispositivos mecânicos ou salpingectomia (Marino et al, 2022), conforme demonstrado na Figura 2. Já na via histeroscópica, é inserido um microimplante em forma de mola na tuba uterina proximal, ocorrendo uma expansão depois de posicionado, resultando em oclusão tubária após algumas semanas (Pastore et al, 2020).…”