Tubal sterilization by laparoscopy or hysteroscopy: which is the most cost-effective procedure?

Franchini, Mario; Cianferoni, Luciano; Lippi, Giuseppe; Calonaci, Francesco; Calzolari, Stefano; Mazzini, Massimo; Florio, Pasquale

doi:10.1016/j.fertnstert.2008.08.027

Cited by 10 publications

(5 citation statements)

References 5 publications

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“…The pH of the vagina gradually increases with continuous promotion of pregnancy and is significantly increased compared with that in nonpregnancy. The increase in the pH value inevitably reduces the resistance of the vagina to external microorganisms and affects its microenvironment [7]. Mycoplasma and Chlamydia are common pathogens infecting the reproductive tract of women during pregnancy [8].…”

Section: Factors Affecting the Vaginal Microecology During The Gestatmentioning

confidence: 99%

Research progress on the correlation between gestational vaginal microecology and vaginal infectious diseases

Dong¹,

Yang²

2018

Infection International

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The health status of the vaginal microenvironment, a complicated system, is an important indicator of female reproductive health. The vaginal flora is in a state of balance, and the microorganisms coexist and are interdependent to maintain the vaginal microecological balance, which is a kind of dynamic balance influenced by endogenous and exogenous factors. Vaginal infections are traditionally treated by killing microbes in the vagina. Given the extensive study of the internal vaginal environment, people have become gradually aware of the significance of maintaining the vaginal microecological balance rather than blindly using antimicrobial agents. The balance in the vaginal internal environment is disrupted during the gestation period as the secretion of progesterone increases. The imbalanced vaginal microecological environment may lead to vaginal infectious diseases. This article provides a review of the relationship between the vaginal microecology and infectious diseases during the gestation period.

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Section: Factors Affecting the Vaginal Microecology During The Gestatmentioning

confidence: 99%

Research progress on the correlation between gestational vaginal microecology and vaginal infectious diseases

Dong¹,

Yang²

2018

Infection International

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“…Because it can be performed in an outpatient clinic, transcervical tubal occlusion is associated with significant cost savings compared with tubal ligation procedures; however, this cost savings may not be as great when both procedures are performed in the operating room setting. [27][28][29] At this time, access to transcervical permanent contraceptive procedures may be limited by a lack of trained providers and by the cost of the device; in some cases the cost is borne by the hospital, which may limit numbers, while in other cases it is borne by the individual, who may find it too costly as a contraceptive option.…”

Section: Indicationsmentioning

confidence: 99%

Canadian Contraception Consensus Chapter 6 Permanent Contraception

2015

Journal of Obstetrics and Gynaecology Canada

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“…Hysteroscopic sterilization with the Essure device saves between $111 and $2075 when compared with various laparoscopic approaches. [30][31][32][33][34] Although the Essure device is more expensive than laparoscopic devices, overall costs are lowered when the outpatient location, faster recovery, [30][31][32][33] and less time away from daily activities 33 are considered.…”

Section: Advantagesmentioning

confidence: 99%

Transcervical Sterilization

Castaño

Adekunle

2010

Semin Reprod Med

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Sterilization is frequently chosen as a method of permanent contraception. Traditional approaches involve surgery under anesthesia in an operating room and are associated with a recovery period and scars. Transcervical sterilization is an incision-free, minimally invasive approach to sterilization. When compared with laparoscopic surgery, transcervical hysteroscopic sterilization does not need to be performed in an operating room, requires less anesthesia, has a shorter recovery period, and is more cost effective. The Essure Permanent Birth Control System (Conceptus, Inc., Mountain View, CA) and Adiana Permanent Contraception System (Hologic, Inc., Bedford, MA) are two available hysteroscopic sterilization techniques. They cause fibrosis and tubal occlusion over a 3-month period so women must use an alternative form of contraception during the first 3 months. A 3-month hysterosalpingogram confirms successful placement and tubal occlusion. Transcervical sterilization is similarly effective to other sterilization methods and is satisfactory to women.

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Tubal sterilization by laparoscopy or hysteroscopy: which is the most cost-effective procedure?

Cited by 10 publications

References 5 publications

Research progress on the correlation between gestational vaginal microecology and vaginal infectious diseases

Research progress on the correlation between gestational vaginal microecology and vaginal infectious diseases

Canadian Contraception Consensus Chapter 6 Permanent Contraception

Transcervical Sterilization

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