지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 296 - 302 (7page)
이용수
초록· 키워드
오류제보하기
Objective: Although previous research has suggested that risk for reoperation among hysteroscopic sterilization (HS) patients is more than ten times higher than for patients undergoing standard laparoscopic tubal ligation, little has been reported about these subsequent procedures.
Methods: This descriptive cohort study used a confidential online questionnaire to gather data from women (n=3,803) who volunteered information on HS followed by device removal surgery performed due to new symptoms developing after Essure placement.
Results: In this sample, mean age was 35.6 years and women undergoing hysterectomy after HS comprised 64.9% (n=2,468). Median interval between HS and hysterectomy was 3.7 (interquartile range, 3.9) years and mean age at hysterectomy was 36.3 years. Some patients (n=1,035) sought removal of HS devices and fallopian tubes only, while other miscellaneous gynecological procedures were also occasionally performed for Essure-associated symptoms. When data from all patients who had any post-Essure surgery besides hysterectomy were aggregated (e.g., device removal + “other” cases, n=1,335) and compared to those cases undergoing hysterectomy, mean age was significantly lower than for the hysterectomy group (34.4 vs. 36.3 years, respectively; P<0.01); uterus-conserving surgeries were also typically performed significantly earlier than hysterectomy (P<0.01).
Conclusion: This investigation is the first to characterize specific gynecological operations after Essure, and suggests that the predominant surgical answer to HS complaints is hysterectomy for many women. Dissatisfaction with HS may represent an important indication for hysterectomy and additional study is needed to quantify this phenomenon.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Adelman MR / 2014 / Management of complications encountered with Essure hysteroscopic sterilization: a systematic review / J Minim Invasive Gynecol 21 : 733 ~ 743
Albright CM / 2013 / Surgical aspects of removal of Essure microinsert / Contraception 88 : 334 ~ 336
Anderson TL / 2013 / Hysteroscopic sterilization success in outpatient vs office setting is not affected by patient or procedural characteristics / J Minim Invasive Gynecol
Brito LG / 2015 / Essure surgical removal and subsequent symptom resolution:case series and follow-up survey / J Minim Invasive Gynecol 22 : 910 ~ 913
Dhruva SS / 2015 / Revisiting Essure:toward safe and effective sterilization / N Engl J Med 373 : e17 ~
Albright CM / 2013 / Surgical aspects of removal of Essure microinsert / Contraception 88 : 334 ~ 336
Anderson TL / 2013 / Hysteroscopic sterilization success in outpatient vs office setting is not affected by patient or procedural characteristics / J Minim Invasive Gynecol
Brito LG / 2015 / Essure surgical removal and subsequent symptom resolution:case series and follow-up survey / J Minim Invasive Gynecol 22 : 910 ~ 913
Dhruva SS / 2015 / Revisiting Essure:toward safe and effective sterilization / N Engl J Med 373 : e17 ~
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