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