Reproducibility of the interpretation of coronal 3D ultrasound view of the uterus to evaluate the position of Essure® 3 months after hysteroscopic procedure - 28/09/17
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Abstract |
Objective |
Three-dimensional sonography is a good alternative method to assess the position of microinserts. Adequate position after three months allows for the interruption of other contraception. Objective is to evaluate inter-observer reproducibility of the interpretation of coronal transvaginal 3D ultrasound view of the uterus to evaluate the position of Essure®.
Study design |
Inter-observer reproducibility study. Fifty women underwent successful bilateral placement of microinserts (Essure®) by hysteroscopy in the Department of Gynaecology of a teaching hospital and were included in the study. At three month, 3D ultrasound coronal views of the fifty uterus (accounting for one hundred microinserts) were assessed by five different observers and microinsert position was classified according to the classification described by Legendre et al. Inter-observer reproducibility in reading the 3D coronal view of the uterus was evaluated.
Results |
The k-value was disparate, from 0.26 to 0.82. Inter-observer reproducibility then ranged from fair to almost perfect, depending on a prior knowledge of the position classification.
Conclusions |
Transvaginal 3D coronal view of the uterus is sufficient to assess the positioning of the microinserts when the practionner or the surgeon is familiar with the classification method.
Le texte complet de cet article est disponible en PDF.Keywords : Essure®, Hysteroscopic sterilization, 3D sonography, Inter-observer reproducibility
Plan
☆ | Condensation: Sonography control of Essure® has been validated by FDA in June 2015, the coronal uterine view is sufficient to assess the good position of microinserts when the practitioner is familiar with the position classification. |
Vol 46 - N° 7
P. 571-573 - septembre 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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