Background: Patients with intratubal microinsert sterilization later may request reversal.
Case: Each patient underwent mini-laparotomy and removal of intratubal microinserts. One patient underwent unilateral tubotubal anastomosis and unilateral tubouterine implantation through a cornual uterine incision. The other patient underwent bilateral tubouterine implantation through a posterior transfundal uterine incision. The first patient became pregnant 4 months after surgery, had an uncomplicated pregnancy, and underwent an elective cesarean delivery at term. The second patient became pregnant 8 months after surgery and had a pregnancy complicated by unexplained abdominal pain at 34 weeks of gestation that resulted in early cesarean delivery.
Conclusion: Proximal tubal occlusion from intratubal microinserts can be corrected surgically and can provide patients an alternative to in vitro fertilization.
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Early hysteroscopic removal of intratubal microinserts with urologic stone retrieval forceps.
Obstet Gynecol
August 2014
Division of Family Planning, Department of Obstetrics and Gynecology, University of Colorado Denver School of Medicine, Aurora, Colorado.
Background: Nickel hypersensitivity reactions can be an indication for the removal of intratubal microinserts used for hysteroscopic sterilization. Although early removal can be attempted hysteroscopically, hysteroscopic grasping forceps may be inadequate to grasp deeply positioned inserts.
Case: Three days after hysteroscopic sterilization, the patient presented with a rash consistent with a nickel hypersensitivity reaction.
Outcomes of pregnancies in women with hysteroscopically placed micro-inserts in situ.
J Minim Invasive Gynecol
May 2015
Department of Obstetrics and Gynaecology, VU University Medical Center, Amsterdam, The Netherlands.
This was a retrospective review of all pregnancies reported after Essure in situ in the Netherlands. Pregnancies included those that were unintentional (resulting from lack of protocol adherence and/or misread confirmation tests) and those that were intentional (resulting from off-label use of Essure micro-inserts for hydrosalpinx closure before in vitro fertilization/intracytoplasmic sperm injection with embryo transfer or in vitro fertilization with embryo transfer after regret of sterilization). The outcomes of 50 pregnancies in women with 1 or 2 micro-inserts in situ were evaluated.
View Article and Find Full Text PDFSuccessful pregnancies after removal of intratubal microinserts.
Obstet Gynecol
February 2012
From the Chapel Hill Tubal Reversal Center, Chapel Hill, North Carolina.
Background: Patients with intratubal microinsert sterilization later may request reversal.
Case: Each patient underwent mini-laparotomy and removal of intratubal microinserts. One patient underwent unilateral tubotubal anastomosis and unilateral tubouterine implantation through a cornual uterine incision.
Nickel hypersensitivity associated with an intratubal microinsert system.
Obstet Gynecol
February 2011
From the Department of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan; and the Detroit Medical Center, Detroit, Michigan.
Background: Although known nickel hypersensitivity is a contraindication to intratubal microinsert placement in the United States, this case demonstrates that nickel hypersensitivity to intratubal microinserts can occur.
Case: A young woman developed an allergic reaction after placement of intratubal microinserts. Nickel hypersensitivity was confirmed with skin patch testing.
[State of the art about teaching hysteroscopy to gynaecologist surgeons in France and in Europe. CONFORM investigation into the training of the hysteroscopic placement of microinserts].
Gynecol Obstet Fertil
September 2009
Centre hospitalier de Versailles, 177, rue de Versailles, 78157 Le Chesnay, France.
Objective: Since 2002, Conceptus company markets in France and Europe the Essure microinsert as permanent hysteroscopic intratubal sterilization, and organizes a meeting, a training and an assistance on a few cases. The data from this interview and the results of the first cases done with assistance of Conceptus instructors were collected prospectively between January 2004 to December 2006. The purpose is to make a state of the art about teaching hysteroscopy to gynaecologist surgeons in France and in Europe.
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