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Intracavitary deposits on Essure® hysteroscopic sterilization devices: A case report
L W Maassen1, D M van Gastel2, E G W M Lentjes1
1University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.
Objective:
To study the composition of intracavitary deposits on Essure® hysteroscopic sterilization devices.
Design:
Case report.
Setting:
Reproductive Medicine and Gynecology department of a University Hospital.
Patients:
A 39 years old patient presenting with a request for surgical removal of Essure® sterilization devices. Diagnostic hysteroscopy showed a crystal like white deposit attached to one of the devices.
Intervention:
Diagnostic hysteroscopy and surgical removal of Essure® devices was performed. The deposits were collected and infrared spectroscopy analysis was performed.
Main Outcome Measure:
Chemical composition of the deposits attached to the device.
Results:
Infrared spectroscopy of the material showed patterns conclusive with calcite (calcium carbonate, CaCO3).
Conclusion:
Until now, it is not clear if there is a relationship between reported complaints and formation of calcite deposits on Essure®.
Capsule:
Infrared spectroscopy of deposits on Essure® devices showed a pattern conclusive with calcite. The relationship between reported complaints and the formation of calcite deposits on Essure® remains unclear.
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