5,597 results match your criteria: "Tubal Sterilization"
Article Synopsis
- Serous tubal intraepithelial carcinoma (STIC) lesions are precursors to high-grade serous ovarian carcinomas, which have the highest mortality rates among gynecologic cancers, particularly affecting women with hereditary risk factors.
- A 38-year-old woman of Nepalese descent was found to have a STIC lesion during an opportunistic salpingectomy performed for sterilization, highlighting the potential risks even in patients considered average risk for ovarian cancer.
- While the SEE-FIM protocol, which is more sensitive for detecting STIC lesions, is typically not applied to average risk patients, implementing it could reduce missed diagnoses, although the costs and effort involved remain uncertain, especially among underrepresented populations.
Colombian consensus for the diagnosis, prevention, and management of Rhesus disease.
Rev Colomb Obstet Ginecol
September 2024
Unidad de Medicina Materno Fetal, Clínica Del Prado, Universidad CES. Medellín (Colombia); Fundared Materna. Bogotá (Colombia).
Article Synopsis
- Aiming to standardize care for Rh-D negative pregnant women, a panel of 23 experts developed guidelines focused on prevention and management of Rh isoimmunization and related conditions to improve perinatal outcomes.* -
- Utilizing a modified Delphi method, the panel assessed 22 questions across eight key areas, including Rh-D testing, prenatal care, and treatment strategies for affected fetuses, reaching an 80% consensus on recommendations.* -
- Key recommendations include encouraging preconception consultations for Rh-D negative women, determining maternal Rh-D status during initial healthcare visits, and ascertaining the father's Rh-D status early in prenatal care.*
Article Synopsis
- Proficiency in postpartum abdominal sterilization is essential for obstetrics and gynecology residents, as noted by the Council on Resident Education, but barriers limit access to such procedures.
- The development of a realistic, low-cost 3D model aimed at enhancing residents' skills and confidence in performing postpartum tubal ligation (PTL) showed promising results, with significant improvement in confidence after simulations.
- Twelve residents successfully practiced on the model, which was well-received for its realism, closely mimicking key anatomical structures and the challenges of a live procedure.
Long-term effectiveness of surgical removal of Essure® implants: A retrospective cohort study.
Eur J Obstet Gynecol Reprod Biol
December 2024
Private Hospital Le Bois, F-59000 Lille, France.
Article Synopsis
- The study aimed to evaluate how effective surgical removal of Essure implants is for symptom relief and patient satisfaction both shortly after and six months post-surgery.
- Conducted at Lille Regional University Hospital, the research involved women who had their Essure implants removed between 2016 and 2020, and included different types of surgery to perform the removal.
- Results showed that 74% of patients experienced total symptom relief at six months, high patient satisfaction rates (97.3% would opt for the procedure again), and while many symptoms improved, some negative effects lingered.
Impact of Race, Ethnicity, Insurance, and Procedural Timing on Sterilization Method.
J Womens Health (Larchmt)
October 2024
Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Article Synopsis
- This study investigates the relationship between race, ethnicity, insurance status, and the type of sterilization procedure among women at one hospital from 2010 to 2020.
- It includes a sample of 1,115 women who had elective sterilizations, with findings showing that a significant majority underwent the procedure during the peripartum period, and many had public insurance.
- The analysis revealed that non-Hispanic Black and Asian women were less likely to have the preferred sterilization method, salpingectomy, compared to non-Hispanic White women, highlighting existing disparities in reproductive health care.
Chronic lower abdominal pain in an elderly female patient: a case report about sigmoid colon fistula and pelvic abdominal infection.
BMC Womens Health
September 2024
Department of Gastroenterology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, No. 136 Jingzhou Street, Xiangcheng District, Xiangyang City, 441021, Hubei Province, China.
Article Synopsis
- An elderly woman experienced recurrent right lower abdominal pain, fever, and abnormal vaginal discharge for 36 years, with worsening symptoms over the last two weeks.
- After ineffective conservative treatment, a laparoscopic exploration and intraoperative colonoscopy revealed a sigmoid colon fistula and pelvic abdominal infection with foreign bodies.
- It is suggested that these issues may be linked to a tubal injection sterilization procedure the patient underwent 36 years ago.
Tubal Sterilization Rates by State Abortion Laws After the Dobbs Decision.
JAMA
September 2024
Department of Obstetrics and Gynecology, Columbia University Vagelos College of Physicians and Surgeons, New York, New York.
Clinical management controversy caused by a rare case of silver clip detachment and displacement after tubal silver clip sterilization.
Ann Med Surg (Lond)
September 2024
Department of Gynecology, Longquan People's Hospital affiliated to Lishui University.
Article Synopsis
- The treatment approach for rare complications like ectopic silver clips after tubal sterilization typically involves removal, but this method is being reconsidered.
- A 54-year-old woman who had a silver clip for sterilization experienced severe abdominal pain, which led to imaging that found the clip ectopically located but not causing harm.
- Evidence suggests that keeping the ectopic silver clip may be safer than removing it, given its compatibility with human tissue and absence of severe long-term complications.
Examining the access to benefits and quality sterilization services among Muslim women in India : Evidence from the fifth round of the national family health survey (2019-2021).
BMC Womens Health
September 2024
Institute of Development Studies, University of Sussex, Falmer, Brighton, BN1 9RH, United Kingdom.
Article Synopsis
- - The research investigates how effectively the Indian family planning program serves Muslim women opting for tubectomies, focusing on access to government compensations and the quality of care they receive compared to non-Muslim women.
- - Using data from the National Family Health Survey, the study reveals that Muslim women have significantly lower chances of receiving state compensations (67% lower odds) and report an 18 percentage point gap compared to non-Muslim women, despite having better odds of receiving thorough pre-operative information.
- - The article emphasizes a need for more research and policy changes to address the reproductive health issues of Indian Muslims, particularly in light of increasing social challenges faced by the community.
Pregnancy after Tubal Sterilization in the United States, 2002 to 2015.
NEJM Evid
September 2024
DuPont Clinic and Department of Population, Family, and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore.
Article Synopsis
- Tubal sterilization is the leading contraceptive method in the U.S., and this study investigates the rates of pregnancy following the procedure using data from the National Survey of Family Growth over various years.
- Results indicate that 2.9 to 5.2% of participants reported pregnancies after tubal sterilization, with lower rates associated with postpartum procedures compared to interval procedures, although this was not consistent in all analyses.
- The study found that older age at the time of sterilization decreased the likelihood of pregnancy, while factors such as race/ethnicity, education, and Medicaid funding did not have consistent impacts on post-sterilization pregnancy rates.
"Permanent" Contraception - Reexamining Modern Tubal Sterilization Effectiveness.
NEJM Evid
September 2024
Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR.
Macrophage Phenotype Induced by Circulating Small Extracellular Vesicles from Women with Endometriosis.
Biomolecules
June 2024
Department of Experimental Pathology, Institut d'Investigacions Biomèdiques de Barcelona, Consejo Superior de Investigaciones Científicas (IIBB-CSIC), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), 08036 Barcelona, Spain.
Article Synopsis
- Evidence indicates that the immune system, particularly macrophages, plays a critical role in the development and progression of endometriosis, linked to dysfunction in their activity.
- This study examines the impact of Small Extracellular Vesicles (sEVs) from the plasma of endometriosis patients on macrophage polarization, comparing them to a control group without the disease.
- Results show that sEVs from endometriosis patients promote macrophages to adopt an M2 phenotype, which is associated with lower activation and changes in certain protein expressions, despite not affecting cell uptake or responding to a specific treatment with a PPARG agonist.
How to be sure of a complete removal of Essure® implant? A radiological study of Essure® microinserts.
J Gynecol Obstet Hum Reprod
November 2024
Department of Gynecology, Hôpital Femme Mère Enfant, HFME, University Hospital of Lyon, 59 boulevard Pinel, Lyon 69000, France.
Article Synopsis
- 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.
Ovarian cancer risk factors in relation to family history.
J Natl Cancer Inst
November 2024
Unit of Virus, Lifestyle and Genes, Danish Cancer Institute, Copenhagen, Denmark.
Article Synopsis
- Women with a family history of breast and/or ovarian cancer have a higher risk of developing ovarian cancer, and it's unclear if common risk factors impact them the same way as the general population.
- A study analyzed data from Denmark and Sweden, comparing ovarian cancer cases and controls in women with and without a family history, finding that factors like multiparity and oral contraceptive use are linked to reduced risk while endometriosis and menopausal hormone therapy are linked to increased risk.
- Results suggest that risk-reduction factors are similar for both groups, but special focus should be given to specific risk factors like endometriosis in women with a family history due to their overall higher risk.
Migrated tubal sterilisation clip presenting as a subcutaneous gluteal foreign body 24 years later: a case report and literature review.
Surg Case Rep
June 2024
Surgical Emergency Unit, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headington, Oxford, OX3 9DU, UK.
Article Synopsis
- - A 66-year-old female developed a lump under her skin, which turned out to be a sterilisation clip that migrated from a procedure she had 24 years prior.
- - The patient was referred to the Surgical Emergency Unit after noticing pain and tenderness around the lump, which was confirmed via ultrasound to be a foreign body.
- - This case highlights the rare occurrence of sterilisation clip migration, suggesting that healthcare providers should be alert to the possibility, especially in patients with prior sterilisation and no recent trauma.
Is There Still a Role for Sterilization by Tubal Ligation as a Contraceptive Method?
Open Access J Contracept
May 2024
Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, University of Stellenbosch, Tygerberg Hospital Francie van Zyl Dr, Cape Town, South Africa.
Article Synopsis
- - Tubal ligation has been a method for controlling fertility in women since the late 1800s, but advancements in surgical techniques have made it safer over time.
- - Recent findings suggest that removing the Fallopian tubes instead of ligating them may lower the risk of ovarian cancer, questioning the appropriateness of current ligation methods.
- - Long-acting reversible contraception, particularly intrauterine devices, have proven to be more effective, cost-effective, and beneficial for health compared to tubal ligation, reducing the likelihood of regret and need for reversal surgeries.
Influence of Pregnancy Intention on Postpartum Contraceptive Choice at an Urban Academic Medical Center.
Am J Perinatol
July 2024
Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Article Synopsis
- - This study investigated postpartum contraception preferences among 431 women, focusing on how pregnancy intention (intended vs. mistimed/unintended) affects their choices.
- - Results showed that about 72% of pregnancies were mistimed or unintended, particularly among younger, unmarried women, mostly non-Hispanic Black, and those with Medicaid or Medicare.
- - Women with mistimed or unintended pregnancies were significantly more likely to opt for highly effective or voluntary sterilization methods, highlighting a need for better access to these options post-delivery.
What is the applicability of tubal ligation with the vaginal natural orifice transluminal endoscopic surgery technique and its value in patient comfort?
Rev Assoc Med Bras (1992)
May 2024
University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Department of Obstetrics and Gynecology - Bursa, Turkey.
Article Synopsis
- This study aimed to assess the effectiveness of vaginal natural orifice transluminal endoscopic surgery (vNOTES) compared to conventional laparoscopy in terms of surgeon ergonomics and patient comfort.
- It involved 47 patients, with the researchers analyzing demographic and surgical data post-surgery for both groups.
- Results indicated that the vNOTES group experienced less pain and greater satisfaction with comfort compared to the conventional laparoscopy group, even though both groups had similar outcomes regarding sexual function.*
Racial and ethnic differences in epithelial ovarian cancer risk: an analysis from the Ovarian Cancer Association Consortium.
Am J Epidemiol
September 2024
Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA, United States.
Article Synopsis
- The study examined risk factors for epithelial ovarian cancer (EOC) among women of different racial and ethnic backgrounds, including Asian, Hispanic, Native Hawaiian/Pacific Islander, and White participants.
- Findings indicated that oral contraceptive (OC) use and childbirth (parity) were generally associated with lower EOC risk across all groups, especially in Native Hawaiian/Pacific Islander and Asian women.
- Significant differences in EOC risk factors were detected among the ethnic groups, suggesting that including more diverse populations in research could improve prevention strategies for ovarian cancer.
Associations of tubal ligation and hysterectomy with serum androgen and estrogen metabolites among postmenopausal women in the Women's Health Initiative Observational Study.
Cancer Causes Control
September 2024
Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, DHHS, Bethesda, MD, USA.
Article Synopsis
- The study aimed to assess how tubal ligation and hysterectomy might affect hormone levels in postmenopausal women, focusing on androgens and estrogens, using data from the Women's Health Initiative.
- Researchers analyzed blood samples from 920 women, with findings showing no significant differences in hormone levels based on tubal ligation status, but significant changes for those who had a hysterectomy, which resulted in lower testosterone and higher estrogen metabolite levels.
- The study concluded that while tubal ligation does not appear to affect postmenopausal hormone levels, hysterectomy correlates with notable hormonal changes that could influence risks for hormone-related diseases in the future.*
Spontaneous intrauterine pregnancy after tubal sterilization: A case report.
SAGE Open Med Case Rep
April 2024
The University of Nevada, Reno School of Medicine, Reno, NV, USA.
Article Synopsis
- * The report details a case of a 34-year-old woman with a history of this procedure who unexpectedly became pregnant and delivered via a repeat cesarean section, revealing remnants of her left fallopian tube.
- * This case suggests that surgical complications, like dense pelvic adhesions, may lead to incomplete procedures, highlighting the importance of counseling patients about the risks of both ectopic and intrauterine pregnancies even after a bilateral salpingectomy.
Outcomes for Women Denied Postpartum Tubal Ligation During the Initial COVID-19 Surge.
Womens Health Rep (New Rochelle)
April 2024
Department of Obstetrics, Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA.
Article Synopsis
- The study aimed to evaluate the use and outcomes of postpartum long-acting reversible contraception (PPLARC) for patients who requested postpartum bilateral tubal ligation (PPBTL) but were unable to receive it due to COVID-19 related surgery cancellations.
- Data was collected from 45 patients who sought PPBTL after vaginal delivery, and insights were gathered through interviews, highlighting the demographic information, contraception methods used, and pregnancy outcomes over 18 months.
- Results showed that while some patients opted for PPLARC, a significant number did not pursue their intended surgeries, and the study emphasized the need for better counseling regarding contraceptive options to support patients during this time.
Permanent and long-acting reversible contraception volumes at a multihospital system in Ohio before and after Dobbs.
Contraception
September 2024
Division of Family Planning, Obstetrics/Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.
Article Synopsis
- Following the Dobbs decision, Ohio implemented a ban on abortion after fetal cardiac activity was detected, leading to an increase in the use of long-acting reversible contraception (LARC) and permanent contraception.
- A retrospective study revealed a 15.8% rise in contraceptive procedures within six months post-Dobbs, with significant increases in permanent contraception, like tubal ligations and vasectomies, particularly among younger patients.
- The findings suggest that restrictive abortion policies may influence contraceptive choices, highlighting a potential link between legislative changes and increased demand for contraception.
Cornual adenomyosis in Essure® device users and in patients hysterectomized for other causes: A retrospective cohort study.
Int J Gynaecol Obstet
October 2024
Department of Obstetrics and Gynecology, Infanta Sofía University Hospital, San Sebastián de los Reyes, Madrid, Spain.
Article Synopsis
- The study aimed to assess the presence of adenomyosis in women who used the Essure® sterilization device and those undergoing hysterectomy for other benign reasons while experiencing pelvic pain and menstrual issues.
- Conducted as a retrospective cohort study, it compared two groups: women with Essure devices who had symptoms and required hysterectomy, and women with similar symptoms but no device history.
- Results showed a significantly higher prevalence of pelvic pain and adenomyosis in the Essure group, suggesting a potential association between the device and the development of adenomyosis, although causation remains unclear.