Essure Hysteroscopic Sterilization Versus Interval Laparoscopic Bilateral Tubal Ligation: A Comparative Effectiveness Review

Ouzounelli, Myrsini; Reaven, Nancy L.

doi:10.1016/j.jmig.2014.12.002

Cited by 19 publications

(9 citation statements)

References 48 publications

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“…A review of 5 studies revealed that the microcoil discharge rate was between 0.4% and 3%. [16] The microcoil discharge rate in the present data was 0.02%. But, most of the current studies used microcoil is Essure, it is mainly used for sterilization.…”

Section: Discussionsupporting

confidence: 42%

Discussion on operative skills in the embolization of hydrosalpinx by hysteroscopic placement of a microcoil

et al. 2019

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This study aims to discuss the operative skills of hysteroscopic tubal embolization and reduce the occurrence of complications.Ninety-four patients were divided into group A and group B. The main surgical technique in group A: when the inner sleeve is sent to the fallopian tube and no longer accessible (but no >3 cm), remove the guide wire and put into the microcoil. But in group B, there are four major surgical techniques. First, the depth at which the guide wire enters the tube was controlled at 2 cm. Second, the inner diameter of the fallopian tube must be explored to determine the type and shape of the coils. Third, saline should be used to separate the catheter. Fourth, it is to control the release speed of the coils. The superiority of the improved operation method was confirmed by comparing the surgical failure rate, incidence of complications, and cost of surgery before and after the procedure.The reoperation rate of group A was 10% (3/30), while that of group B was 2.68% (3/112). The ectopic microcoils rate of group A was 6.67% (2/30), while that of group B was 0.89% (1/112). The microcoil damages rate of group 23.33% (7/30), while that of group B was 8.04% (9/112). All P values were <.01, and the difference was statistically significant.Hysteroscopic tubal embolization is currently a new surgical procedure to block the fallopian tubes and prevent the reverse flow of fluid in the fallopian tubes into the uterine cavity. After we improved surgical techniques, the surgical failure rate, complication rate, and operation cost of fallopian tube embolization were significantly lower than before the improved method was applied. The improved techniques led to a higher success rate.

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Section: Discussionsupporting

confidence: 42%

Discussion on operative skills in the embolization of hydrosalpinx by hysteroscopic placement of a microcoil

et al. 2019

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Section: Sterilizationmentioning

confidence: 99%

“…44 Compared with laparoscopic tubal ligation, hysteroscopic sterilization complications are more likely to be minor in nature. 44 With hysteroscopic sterilization, <3% of the women will fail to have tubal occlusion at 3 months, as assessed by hysterosalpingogram. 44 Women who opt for hysteroscopic sterilization must use a reliable contraceptive method until tubal occlusion is confirmed by imaging.…”

Section: Sterilizationmentioning

confidence: 99%

“…44 With hysteroscopic sterilization, <3% of the women will fail to have tubal occlusion at 3 months, as assessed by hysterosalpingogram. 44 Women who opt for hysteroscopic sterilization must use a reliable contraceptive method until tubal occlusion is confirmed by imaging. Obese women contemplating female sterilization should seriously consider hysteroscopic sterilization given the additional surgical risks associated with laparoscopic techniques.…”

Section: Sterilizationmentioning

confidence: 99%

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Postpartum Care and Contraception in Obese Women

Maclean

Thompson

2016

Clinical Obstetrics &Amp; Gynecology

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Postpartum obese women have an increased risk of breastfeeding difficulties and depression. Retaining the pregnancy weight at 6 months postpartum predicts long-term obesity. Risks for weight retention include excessive gestational weight gain, ethnicity, socioeconomic status, diet, exercise, depression, and duration of breastfeeding. Exercise and reducing total caloric intake promote postpartum weight loss. Intrauterine devices and contraceptive implants are the most effective contraceptives for obese women. Contraceptive pills, patches, and vaginal rings are effective options; however, obese women should be made aware of a potential increased risk of venous thromboembolism. Vasectomy and hysteroscopic sterilization carry the least surgical risk for obese women.

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“…In an HSG exam, iodine-based dye is placed through the cervix, and X-rays are taken to determine full occlusion of the fallopian tubes, thus completion of the procedure. Failure rates are reported to be between 0.2 and 0.5% based on results after a successful HSG exam [11].…”

Section: Introductionmentioning

confidence: 99%

Comparing options for women seeking permanent contraception in high-resource countries: a protocol for a systematic review

2019

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BackgroundFor women seeking permanent contraception, there are a variety of options available including surgical techniques such as tubal ligation or bilateral salpingectomy, in-clinic procedures such as hysteroscopic techniques using micro-inserts, or the levonorgestrel-releasing intrauterine contraceptive. Despite the various methods available for women who are seeking permanent contraception, there is not a review or decision-making tool that systematically brings together outcomes related to effectiveness, tolerability, adverse effects, non-contraceptive benefits, recovery, or accessibility: all of which are important for shared decision-making between patients and health care providers.MethodsWe registered our protocol [on Prospero: CRD42016038254] following PRISMA guidelines. A search strategy was created in collaboration with a librarian, and three databases (EMBASE, PubMed, Web of Science) will be searched along with secondary screening of relevant articles. A third reviewer will adjudicate any discrepancies. Data will be extracted independently according to population, intervention, comparison, outcomes (PICOS); length of follow-up; and funding. Articles will be assessed for bias using the Newcastle-Ottawa Scale and the Cochrane Collaboration tool. If appropriate, a network meta-analysis will be conducted to rank and analyze each method according to each objective. If heterogeneity between studies is too high or it is not possible to conduct a network meta-analysis, a narrative analysis of the study results will be provided.DiscussionClinicians and their patients seeking permanent contraception have several options, yet we were unable to find a systematic review or decision support tool helping to facilitate shared decision-making. This systematic review can inform patients, providers, and health policy decision-makers about which options of permanent contraception will meet different reproductive goals according to various outcomes, which can lead to better health, social, economic, and mental well-being for reproductive age women. This can also aid our understanding of resulting costs to the health care system.Systematic review registrationPROSPERO CRD42016038254

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Essure Hysteroscopic Sterilization Versus Interval Laparoscopic Bilateral Tubal Ligation: A Comparative Effectiveness Review

Cited by 19 publications

References 48 publications

Discussion on operative skills in the embolization of hydrosalpinx by hysteroscopic placement of a microcoil

Discussion on operative skills in the embolization of hydrosalpinx by hysteroscopic placement of a microcoil

Postpartum Care and Contraception in Obese Women

Comparing options for women seeking permanent contraception in high-resource countries: a protocol for a systematic review

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