We have located links that may give you full text access.
Removal of Essure ® sterilization devices: a retrospective cohort study in the Netherlands.
Journal of Minimally Invasive Gynecology 2018 October 17
STUDY OBJECTIVE: to analyze short-term effectiveness and symptom resolution after surgical removal of Essure® sterilization devices.
DESIGN: single center retrospective cohort study. Canadian task force level III.
SETTING: a large secondary care teaching hospital in the Netherlands.
PATIENTS: all patients who underwent surgical removal of Essure® devices in the period between January 2009 and December 2015.
INTERVENTIONS: Surgical removal of Essure® devices was predominantly performed by laparoscopic surgery. In the majority of patients, Essure® devices were removed by performing bilateral salpingectomy (66,6%).
MEASUREMENTS: data regarding patient characteristics, symptoms, insertion procedure, removal procedure, results of pathological assessment and follow-up were extracted from patient files.
MAIN RESULTS: A total of 93 patients had Essure® devices removed in the selected period. The onset of symptoms after Essure® sterilization was variable. The most frequently reported symptom was abdominal pain (69.9%), followed by lower back pain and fatigue. Most patients reported multiple symptoms. 39.8% of women reported complete relief of symptoms following removal surgery, whereas 15.1% did not notice any relief in symptoms.
CONCLUSION: Six weeks after removal surgery 39.8% of patients reported complete resolution of symptoms. Further research to reported symptoms after Essure sterilization and symptom resolution after removal surgery is necessary to inform both patients and gynecologist in order to make a well-considered decision about taking the risks of (major) surgery and the expected benefits of removal.
DESIGN: single center retrospective cohort study. Canadian task force level III.
SETTING: a large secondary care teaching hospital in the Netherlands.
PATIENTS: all patients who underwent surgical removal of Essure® devices in the period between January 2009 and December 2015.
INTERVENTIONS: Surgical removal of Essure® devices was predominantly performed by laparoscopic surgery. In the majority of patients, Essure® devices were removed by performing bilateral salpingectomy (66,6%).
MEASUREMENTS: data regarding patient characteristics, symptoms, insertion procedure, removal procedure, results of pathological assessment and follow-up were extracted from patient files.
MAIN RESULTS: A total of 93 patients had Essure® devices removed in the selected period. The onset of symptoms after Essure® sterilization was variable. The most frequently reported symptom was abdominal pain (69.9%), followed by lower back pain and fatigue. Most patients reported multiple symptoms. 39.8% of women reported complete relief of symptoms following removal surgery, whereas 15.1% did not notice any relief in symptoms.
CONCLUSION: Six weeks after removal surgery 39.8% of patients reported complete resolution of symptoms. Further research to reported symptoms after Essure sterilization and symptom resolution after removal surgery is necessary to inform both patients and gynecologist in order to make a well-considered decision about taking the risks of (major) surgery and the expected benefits of removal.
Full text links
Trending Papers
A Personalized Approach to the Management of Congestion in Acute Heart Failure.Heart International 2023
Potential Mechanisms of the Protective Effects of the Cardiometabolic Drugs Type-2 Sodium-Glucose Transporter Inhibitors and Glucagon-like Peptide-1 Receptor Agonists in Heart Failure.International Journal of Molecular Sciences 2024 Februrary 21
The Effect of Albumin Administration in Critically Ill Patients: A Retrospective Single-Center Analysis.Critical Care Medicine 2024 Februrary 8
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app