title: Laparoscopic management of hysteroscopic essure sterilization complications: report of 3 cases.
abstract: Hysteroscopic Essure sterilizations offer women and physicians another option for contraception. Overall, the procedure is simple to perform and highly efficacious, and as a result, has gained popularity among practicing gynecologists. Unfortunately, complications occur with any type of surgery. We report 3 cases of hysteroscopic Essure sterilization complications where the Essure microinsert was noted to be misplaced or where patients had persistent postprocedure pain in the setting of appropriately placed microinserts. In all 3 cases, the microinserts were successfully removed laparoscopically.
authors.affiliation: Department of Obstetrics and Gynecology, Beth Israel Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA. hhur@bidmc.harvard.edu
authors.forename: Hye-Chun
authors.initials: HC
authors.lastname: Hur
authors.forename: Suketu M
authors.initials: SM
authors.lastname: Mansuria
authors.forename: Beatrice A
authors.initials: BA
authors.lastname: Chen
authors.forename: Ted T
authors.initials: TT
authors.lastname: Lee
mesh_terms: D000328:Adult; D001672:Biocompatible Materials / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D010149:Postoperative Pain; D013243:Sterilization Reversal / Q000379:methods*; D013246:Sterilization, Tubal / Q000009:adverse effects* / Q000295:instrumentation; D000267:Tissue Adhesions / Q000209:etiology
chemical_list: D001672:Biocompatible Materials