Laparoscopic Essure® Device Removal by En Bloc Salpingectomy-Cornuectomy with Intraoperative X-Ray Checking: A Retrospective Cohort Study
| Autor: | Patrice Crochet, Léon Boubli, Aubert Agostini, Clara Compan, Laura Miquel, Sarah Francini |
|---|---|
| Přispěvatelé: | Service de Gynécologie et Obstétrique [Marseille], Hôpital de la Conception [CHU - APHM] (LA CONCEPTION), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Sterilization
Tubal medicine.medical_treatment MESH: Laparoscopy Intraoperative X-ray Cohort Studies 0302 clinical medicine MESH: Pregnancy MESH: Sterilization Tubal Pregnancy Salpingectomy Laparoscopy MESH: Cohort Studies MESH: Radiography Ultrasonography MESH: Treatment Outcome 030219 obstetrics & reproductive medicine MESH: Middle Aged medicine.diagnostic_test MESH: Intrauterine Devices Obstetrics and Gynecology Middle Aged 3. Good health Treatment Outcome Essure 030220 oncology & carcinogenesis Female France Cohort study Adult MESH: Salpingectomy medicine.medical_specialty MESH: Monitoring Intraoperative Hysteroscopy [SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics Pelvis Resection 03 medical and health sciences MESH: X-Rays Device removal Monitoring Intraoperative medicine Humans Essure device removal MESH: Device Removal Device Removal Retrospective Studies MESH: Pelvis MESH: Humans business.industry X-Rays Retrospective cohort study MESH: Adult MESH: Retrospective Studies MESH: Hysteroscopy Surgery Radiography MESH: France MESH: Morbidity Feasibility Studies Morbidity Sterilization Reversal business MESH: Feasibility Studies MESH: Female MESH: Sterilization Reversal Intrauterine Devices MESH: Ultrasonography |
| Zdroj: | Journal of Minimally Invasive Gynecology Journal of Minimally Invasive Gynecology, Elsevier, 2020, 27 (3), pp.697-703. ⟨10.1016/j.jmig.2019.06.006⟩ |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2019.06.006⟩ |
| Popis: | Study Objective To evaluate the feasibility, efficacy, and morbidity of Essure® device removal via laparoscopic en bloc salpingectomy-cornuectomy resection (LSC) and the utility of confirmation of complete removal with an intraoperative X-ray of the removed specimen (IX-S). Design Retrospective observational cohort study. Setting Academic hospitals of La Conception, Marseille, and Arnaud-de-Villeneuve, Montpellier, France. Patients Women who were not seeking future fertility seeking Essure® device removal by salpingectomy, between February 2017 and August 2018. Interventions All women underwent LSC. An IX-S was performed to confirm complete Essure® device removal. In the case of an unsatisfactory IX-S, an intraoperative pelvic X-ray control of the patient (IX-P) was performed. If IX-P diagnosed residual Essure® fragments, an additional resection was performed, and the removed tissue was checked by IX-S. Measurements and Main Results We included 72 women, and a total of 140 Essure® devices were removed. The IX-S confirmed complete Essure® device removal in 131 of 140 cases (93.6%) in 63 of 72 women (87.5%). Out of the 9 women with unsatisfactory IX-S, 6 had no residual Essure® fragments at IX-P, and Essure® device removal was considered complete. Three women had a persistent Essure® fragment at IX-P: an additional resection allowed complete removal in 2 cases and resulted in failure in 1 of 140 case (0.7%). There were 2 of 72 women (2.8%) intraoperative complications and 4 of 72 women (5.6%) postoperative grade 1 complications according to the Clavien–Dindo classification. Conclusion Essure® device removal by LSC appears to be an effective and safe procedure. IX-S is a useful method to evaluate whether the removal of Essure® device is complete during an LSC procedure. |
| Databáze: | OpenAIRE |
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