Laparoscopic cornuectomy is commonly used to remove Essure® implants, but there's a risk of the device fragmenting, which can complicate surgery.
A study of 66 patients by gynecologists assessed the effectiveness of intraoperative radiographs compared to direct inspection of the removed implants to check for any remaining fragments.
Results showed that while the sensitivity and specificity were high for both methods, senior gynecologists performed better than residents, and postoperative imaging is still advised for thorough checking after the procedure.