Radiological assessment of placement of the hysteroscopically inserted Essure permanent birth control device
| Autor: | R. M. Lorente Ramos, J. C. Albillos Merino, P. Aparicio Rodríguez-Miñón, J. Azpeitia Arman, F.J. Salazar Arquero |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Tubal ligation education.field_of_study medicine.diagnostic_test business.industry Perforation (oil well) Population Surgery Essure Hysteroscopy Occlusion General Earth and Planetary Sciences Medicine Hysterosalpingography business education Laparoscopy General Environmental Science |
| Zdroj: | Radiología (English Edition). 57:193-200 |
| ISSN: | 2173-5107 |
| DOI: | 10.1016/j.rxeng.2014.12.001 |
| Popis: | Essure is a permanent birth control device that is inserted through the cervix by hysteroscopy. The device is placed in the fallopian tubes, where it causes occlusion by stimulating fibrosis. Patients can be followed up with plain-film X-rays, hysterosalpingography, and ultrasonography, although the devices can also be identified incidentally on CT and MRI. The follow-up of Essure is based on checking the criteria for appropriate positioning and correct functioning (tubal occlusion) and on diagnosing complications. The most common complications are perforation, migration (toward the uterine or peritoneal cavity), and occlusion failure. In hysterosalpingography, vascular intravasation is the most common cause of diagnostic error. Radiologists need to know how to recognize the device on different imaging techniques, how to check that it is correctly placed and functioning, and how to diagnose complications. |
| Databáze: | OpenAIRE |
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