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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.

Case Reports in Obstetrics and Gynecology

|September 10, 2020

Summary

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.

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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.