Laparoscopic salpingectomy and removal of Essure hysteroscopic sterilisation device: a case series

The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception
T JohalG Raje

Abstract

Tubal sterilisation using Essure is a minimally invasive technique for permanent contraception, with high rates of patient satisfaction. However, some women subsequently choose removal of the inserts, due to side effects such as pelvic pain, abnormal bleeding, dyspareunia or allergic dermatitis. This case series presents the management of eight women who underwent laparoscopic removal of Essure inserts in conjunction with salpingectomy. We describe our surgical technique, its underlying principles and immediate surgical outcomes. Eight patients were identified as having undergone removal of Essure inserts, via an electronic search of the surgical procedures database. A retrospective review of case records was undertaken. The primary outcome was safety and feasibility of the laparoscopic salpingectomy approach. Secondary outcome measures included implant fracture rate, operative time, blood loss and length of patient stay. All eight women were able to undergo laparoscopic salpingectomy and removal of the Essure inserts without the need for laparotomy or hysterectomy. There were no incidences of fracture or incomplete removal of the insert. Immediate postoperative recovery was uncomplicated in all eight women; the mean length of ...Continue Reading

References

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Citations

Jan 15, 2019·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Gynecology
Nov 26, 2020·Journal of Robotic Surgery·William NolanAli Ghomi
Oct 14, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Camille EychenneTiphaine Siebert
Jun 8, 2021·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·G CheneO Graesslin

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