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Essure was a device for female sterilization. It is a metal coil which when placed into each fallopian tube induces fibrosis and blockage. [1] Essure was designed as an alternative to tubal ligation. However, it was recalled by Bayer in 2018, and the device is no longer sold due to complications secondary to its implantation.
Essure sterilization was a tubal occlusion procedure that was approved by the FDA in 2002. The Essure procedure involves inserting a small camera (hysteroscope) through the cervix and into the uterine cavity. Two small, metallic coils are then inserted into each tubal ostia and into the isthmic portion of the fallopian tube. The coils cause the ...
Essure has been the target of complaints and calls for its withdrawal since it was approved for sale in the United States in 2002. Essure has been the target of complaints and calls for its ...
Pregnancies after a tubal sterilization can still occur, even many years after the procedure. It is not very likely, but if it does happen there is a high risk of ectopic gestation. Statistics confirm that a handful of tubal sterilization surgeries are performed shortly after a vaginal delivery mostly by minilaparotomy. [1]
However, patients who desire pregnancy after having undergone a female sterilization procedure have two options. Tubal reversal is a type of microsurgery to repair the fallopian tube after a tubal ligation procedure. Successful pregnancy rates after reversal surgery are 42-69%, depending on the sterilization technique that was used. [36]
Essure showed promise by eliminating the cutting, clipping, and burning associated with tubal ligation. After clinical testing, Conceptus began marketing Essure commercially in Australia, Singapore, Europe, and Canada. In 2002, the US Food and Drug Administration approved the use of Essure in the United States. [1]
The choice is dependent on the procedure, the patient's condition, and the physician's preference. Fluids can be used for both diagnostic and operative procedures. However, CO 2 gas does not allow the clearing of blood and endometrial debris during the procedure, which could make the imaging visualization difficult. Gas embolism may also arise ...
Perioperative mortality has been defined as any death, regardless of cause, occurring within 30 days after surgery in or out of the hospital. [1] Globally, 4.2 million people are estimated to die within 30 days of surgery each year. [2]