Fertility and sterility · 2011
Bipolar hysteroscopic procedures and placement of Essure microinserts for tubal sterilization: a case control study.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Panel Pierre, Grosdemouge Isabelle, Houllier Marie, Renouvel Frédérique, Friederich Ludovic, Le Tohic Arnaud
Аннотация
OBJECTIVE: To assess the effectiveness and complication rate with Essure microinsert placements for tubal sterilization and the concomitant bipolar intrauterine surgical procedure.
DESIGN: Case control study.
SETTING: Department of gynecology and obstetrics of a general hospital in France.
PATIENT(S): 382 women, including 41 undergoing one or several concomitant uterine procedures with Essure placement, and 341 undergoing Essure placement only (controls).
INTERVENTION(S): Essure placement with or without bipolar hysteroscopic procedure for polyp, myoma, or endometrial ablation.
MAIN OUTCOME MEASURE(S): Success rate for microinsert placement and complications at 3 months.
RESULT(S): Forty-one patients had Essure microinserts placed in combination with a bipolar hysteroscopic procedure: endometrial resection (n=32), fibroma resection (n=4), or polyp ablation (n=5). They were compared with 341 patients who underwent Essure placement only. The success rate for Essure placement was 97.6% in the combination group versus 97.6% in the control group. The complication rate was 4.9% (n=2) in the combination group versus 2.6% (n=9) in the control group. The difference in the success and complication rates was not statistically significant.
CONCLUSION(S): Performing intrauterine bipolar resection during hysteroscopy for sterilization is possible without reducing the Essure placement success rate and without increasing morbidity.
DESIGN: Case control study.
SETTING: Department of gynecology and obstetrics of a general hospital in France.
PATIENT(S): 382 women, including 41 undergoing one or several concomitant uterine procedures with Essure placement, and 341 undergoing Essure placement only (controls).
INTERVENTION(S): Essure placement with or without bipolar hysteroscopic procedure for polyp, myoma, or endometrial ablation.
MAIN OUTCOME MEASURE(S): Success rate for microinsert placement and complications at 3 months.
RESULT(S): Forty-one patients had Essure microinserts placed in combination with a bipolar hysteroscopic procedure: endometrial resection (n=32), fibroma resection (n=4), or polyp ablation (n=5). They were compared with 341 patients who underwent Essure placement only. The success rate for Essure placement was 97.6% in the combination group versus 97.6% in the control group. The complication rate was 4.9% (n=2) in the combination group versus 2.6% (n=9) in the control group. The difference in the success and complication rates was not statistically significant.
CONCLUSION(S): Performing intrauterine bipolar resection during hysteroscopy for sterilization is possible without reducing the Essure placement success rate and without increasing morbidity.