Document Detail

Essure sterilization associated with endometrial ablation.
MedLine Citation:
PMID:  17379221     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the feasibility and the outcome of Essure sterilization associated with different techniques of endometrial ablation. METHOD: Retrospective study conducted among 23 women with confirmed menometrorrhagia and with the desire for or the medical need for permanent tubal sterilization. Patients underwent combined hysteroscopic placement of Essure and hysteroscopic endometrial resection procedures: ThermaChoice (n=14), NovaSure (n=4), Hydrothermablator (n=2) and endometrial resection using monopolar energy (n=1), or bipolar energy (n=2). RESULTS: Fallopian tubes were successfully cannulated bilaterally in 87% of the cases (20/23). No adverse event was reported. Adequate bilateral occlusion was confirmed for all patients (20/20) by 3D ultrasound and pelvic X-ray at a 3-month follow-up. Furthermore, 85% of these patients were satisfied with the results of the procedure, all experiencing a significant reduction in menstrual blood loss (Higham blood loss score). CONCLUSION: Combining EA and hysteroscopic sterilization seems to be feasible and efficient in patients with menometrorrhagia.
A C Donnadieu; X Deffieux; A Gervaise; E Faivre; R Frydman; H Fernandez
Publication Detail:
Type:  Journal Article     Date:  2007-03-26
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  97     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-23     Completed Date:  2007-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  139-42     Citation Subset:  IM    
Univ Paris-Sud, Clamart, France.
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MeSH Terms
Electrocoagulation / methods*
Endometrium / surgery*
Hysteroscopy / methods*
Menorrhagia / surgery*
Middle Aged
Patient Satisfaction
Retrospective Studies
Sterilization, Tubal / instrumentation,  methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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