[Hysteroscopic tubal sterilization with Essure® devices: a retrospective descriptive study and evaluation of hypnosis].

J Gynecol Obstet Biol Reprod (Paris)

Service de gynécologie, maternité régionale universitaire, 10, rue du Docteur-Heydenreich, 54000 Nancy, France.

Published: June 2011

Objectives: The Essure(®) system is a hysteroscopic sterilization method. The aim of our study is to retrospectively evaluate the sterilization procedure with Essure(®) devices, with and without anesthesia, and in particular with hypnosis.

Patient And Methods: The descriptive study includes all tubal sterilization with Essure(®) performed during the year 2009 at the Maternité régionale de Nancy. Hypnosis efficiency is retrospectively evaluated with Verbal Numeric Rating Scale (VNRS) for peroperative pain, and analgesic medication use for postoperative pain.

Results: Ninety-four sterilizations are performed, 85% (85/94) of them without anesthesia. The mean VNRS is 3.0. The mean operative time is 8.7 minutes, positively correlated with the VNRS (P=0.0005). The rate of successful insertion is 94%. At 3 months, 91% of the implants have a correct location. Inadequate locations are more frequent when anesthesia have been performed (37% vs 4%, P=0.016). There is no significant difference between groups with and without hypnosis for the VNRS, the failure rate and the use of analgesic medication.

Conclusion: Tubal sterilization with the Essure(®) system is a quick and efficient method. Our study does not demonstrate efficiency of hypnosis in pain control. This remains to be explored with a prospective study, including others parameters, such as anxiety.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jgyn.2011.02.007DOI Listing

Publication Analysis

Top Keywords

tubal sterilization
12
sterilization essure®
12
essure® devices
8
descriptive study
8
essure® system
8
sterilization
5
essure®
5
study
5
[hysteroscopic tubal
4
devices retrospective
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!