title: Essure hysteroscopic sterilization versus interval laparoscopic bilateral tubal ligation: a comparative effectiveness review.
abstract: A comparative effectiveness analysis was performed to examine the risks and benefits of laparoscopic bilateral tubal ligation compared with hysteroscopic sterilization using the Essure Permanent Birth Control System (Bayer HealthCare AG, Whippany, NJ). Existing evidence shows that both LBTL and Essure are safe and effective methods of female sterilization. Both have high rates of efficacy and low rates of complications although when complications do occur, those related to the Essure procedure are more likely to be minor in nature. The analysis was limited by the restricted number of studies involving head-to-head comparisons of the 2 approaches.
authors.affiliation: Strategic Health Resources, La Canada, California.
authors.forename: Myrsini
authors.initials: M
authors.lastname: Ouzounelli
authors.affiliation: Strategic Health Resources, La Canada, California. Electronic address: nancy.reaven@strathealth.com.
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Reaven
mesh_terms: D057186:Comparative Effectiveness Research; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods; D010535:Laparoscopy / Q000009:adverse effects; D019964:Mood Disorders / Q000209:etiology / Q000517:prevention & control; D009325:Nausea / Q000209:etiology / Q000517:prevention & control; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control; D011247:Pregnancy; D011271:Pregnancy, Ectopic; D016032:Randomized Controlled Trials as Topic; D018570:Risk Assessment; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome
keywords: Essure; Hysteroscopic sterilization; Laparoscopic; Tubal ligation