Patients’ satisfaction following laparoscopic cornuectomy for removal of hysteroscopic sterilization devices - 14/02/21
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Highlights |
• | Due to increasing reports of adverse effects, Essure® sterilization implants have been withdrawn from clinical practice. |
• | Laparoscopic cornuectomy is feasible for implant removal. |
• | Laparoscopic cornuectomy is associated with a positive impact on preoperative symptoms. |
• | Laparoscopic cornuectomy is associated with high patients’ satisfaction. |
Abstract |
Objectives |
To evaluate patients’ satisfaction and evolution of pre-operative symptoms at 6 months following laparoscopic cornuectomy for hysteroscopic sterilization implants removal.
Material and methods |
Retrospective study including all patients undergoing laparoscopic cornuectomy for implants removal in a tertiary care setting from January 2017 to October 2018. All women suffered from persistent and treatment-resistant gynecologic and non-gynecologic complaints since sterilization procedure. Patents’ satisfaction was evaluated with the PGI-I questionnaire at 2 and 6 months following surgery.
Results |
Overall, 104 patients were enrolled. Main symptoms comprised asthenia (n = 80), chronic pelvic pain (n = 80), arthralgia (n = 70), abnormal uterine bleeding (n = 42) and headache (n = 40). Cornuectomy was feasible in all cases and led to complete devices removal in 101 women. Mean length of stay was 1.8 days, while outpatient management was feasible in 45.2 % of cases. One grade 3 complication occurred along the study period (hemoperitoneum requiring reoperation). Surgery was associated with a significant decrease in symptom occurrence, except for alopecia and weight loss. Patients’ satisfaction was high: 91 % at 2 months and 97.6 % at 6 months reported an improvement in their health status compared to baseline situation. Satisfaction regarding each symptom was consistent with overall assessment, with most patients reporting significant improvement at both 2 and 6 months.
Conclusion |
Laparoscopic cornuectomy is feasible and associated with high mid-term satisfaction in patients suffering from adverse effects attributed to hysteroscopic sterilization implants.
Le texte complet de cet article est disponible en PDF.Abbreviations : ESI, CNIL, PGI-I
Keywords : Essure ®sterilization implants, Contraception, Symptoms, Cornuectomy, Satisfaction
Plan
Vol 50 - N° 3
Article 101939- mars 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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