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Safety And Efficacy of Hysteroscopic Sterilization With ‘Essure’ Compared With Laparoscopic Sterilization

Safety And Efficacy of Hysteroscopic Sterilization With ‘Essure’ Compared With Laparoscopic Sterilization

Laparoscopic bilateral tubal ligation has been the primary method of female permanent birth control for decades, and hysteroscopic microinsert device was developed as a less invasive alternative method. Since the procedure’s approval, there has been thousands of reports of adverse events related to the use of hysteroscopic sterilization, but there is little information regarding its safety and efficacy compared with tubal ligation. The study concludes that patients undergoing hysteroscopic sterilization have a similar risk of unintended pregnancy but more than 10-fold higher risk of undergoing a reoperation when compared with laparoscopic sterilization. Benefits and risks of both procedures should be discussed with patients for informed decisions making.

Link: http://www.bmj.com/content/351/bmj.h5162

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