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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2014, Number 07

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Ginecol Obstet Mex 2014; 82 (07)

Tubal obstruction with an implant inserted by hysteroscopy: a report of 50 cases

Saad-Ganem A, Alanís-Fuentes J, Salazar López-Ortiz CG, Muradas-Gil L, Quintero-Bernal P, Palma-Dorantes J, Charua LE
Full text How to cite this article

Language: Spanish
References: 12
Page: 448-453
PDF size: 931.93 Kb.


Key words:

Female sterilization, tubal occlusion, hysteroscopy, intratubal microdevice, Essure®, permanent contraception.

ABSTRACT

Background: The Essure® contraceptive device consists of a titanium and nickel coiled spring containing Dacron fibers. It is placed under hysteroscopic visualizaron in the proximal section of the Fallopian tube. The microinsert acts by inducing a tissue reaction that permanently blocks the tube within three months.
Objective: Show our experience in the use and insertion of the Essure® device, in a prívate office.
Methods: We reviewed insertion procedure, complications, degree of tolerance and acceptance by user. Between June 2008 and May 2013 fifty cases with Essure® placement were made in our office.
Results: The average age was 36 years, as for the average number of pregnancies was two. The procedure time average was 6 minutes 25 seconds, no intraoperative complication was reported. All patients expressed very good tolerance and high degree of satisfaction with the procedure. A simple abdominal radiography was performed three months after the hysteroscopy to demónstrate the correct placement and position of the device, in all patients.
Conclussion: The number of patients is enough to show the advantages of the method and the possibility of performing it in an ambulatory environment, as it can be a prívate office with the correct equipment to do it.


REFERENCES

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  2. Rios-Castillo J, Velasco E, Arjona-Berral J. Efficacy of Essure hysteroscopic sterilization-5 years follow up of 1200 women. Gynecol Endocrin 2012;29:580-582.

  3. Thiel A, Carson G. Cost-Effectiveness analiysis Comparing the Essure Tubal Sterilization Procedure and Laparoscopic Tubal Sterilization. JOCG 2008;67:581-585.

  4. Miño M, Arjona J, Pelegrin B, Provedano B, Chacón E. Success rate and patient satisfaction with the Essure sterilization in an outpatient setting: a prospective study of 857 women. BJOG 2007;89:763-766.

  5. Kevin JF, Carigan CS, Cher D. The safety and effectiveness of a new hysteroscopic method for permanent birth control: results of the first Essure clinical study. Aust N Z Obstet Gynecol 2001;41:364.

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  8. Moses AW, Burgis JT, Bacon JL, Risinger J. Pregnancy after Essure placement: report of two cases. Fertil Steril 2008;89:9-11.

  9. Basinski, C. A Review of Clinical Data for Currently Approved Hysteroscopic Sterilization Procedures. Med Reviews 2010;11:101-110.

  10. Peterson HB, Xia Z, Hughes JM, Wilcox LS, Tylor LR, Trussell J. The risk of ectopic pregnancy after tubal sterilization. U.S. Collaborative Review of Sterilization Working Group. N Engl J Med 1997;336:762-767.

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Ginecol Obstet Mex. 2014;82