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Challenges in Removing the Essure® Device
Daniëlle M van Gastel1, Liselotte W Maassen2, Carolien A M Koks1
1Máxima Medical Center Veldhoven, De Run 4600, 5504 DB Veldhoven, Netherlands.
Essure removal surgery can lead to device fragments detaching, necessitating a second procedure. Fluoroscopy aids in visualizing lost Essure markers, potentially avoiding hysterectomy for complete device removal.
Area of Science:
- Reproductive Medicine
- Minimally Invasive Gynecological Surgery
Background:
- Essure is a permanent birth control device placed in the fallopian tubes.
- Device breakage during removal can complicate the procedure.
Observation:
- A case of Essure removal surgery where device markers detached.
- The patient required a second surgery for complete Essure removal.
Findings:
- Fluoroscopy is effective for visualizing detached Essure fragments during surgery.
- Utilizing fluoroscopy can prevent the need for hysterectomy in cases of Essure device fragmentation.
Implications:
- Understanding Essure device anatomy, including its four radiopaque markers, is crucial for surgeons.
- Fluoroscopy-guided removal can improve outcomes and reduce morbidity in complex Essure removal cases.
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