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A comparative study of hysteroscopic sterilization performed in-office versus a hospital operating room.

Abstract：

STUDY OBJECTIVE:To compare hysteroscopic female sterilization procedures performed in-office versus a hospital operating room (OR) among newly trained physicians. DESIGN:Multisite hospital operating rooms and physician offices. PATIENTS:Women desiring permanent hysteroscopic sterilization. INTERVENTION:Hysteroscopic female sterilization with the Essure system. MEASUREMENTS AND MAIN RESULTS:Procedure time (scope in/scope out time), device placement rates, and incidence of complications and adverse events were compared. There was no significant difference in scope time between the 2 settings. There was no significant difference in placement rates, although the placement rate was somewhat higher in-office (91% vs 88%). There were no complications among any of the procedures, and the incidence of minor adverse events was extremely low in both settings (OR=2%, in-office=1%). CONCLUSION:There is no clear advantage to performing hysteroscopic sterilization in a hospital OR. Hysteroscopic sterilization can be performed safely and efficiently in an office setting.

journal_name

J Minim Invasive Gynecol

journal_title

Journal of minimally invasive gynecology

authors

Nichols M,Carter JF,Fylstra DL,Childers M,Essure System U.S. Post-Approval Study Group.

doi

10.1016/j.jmig.2006.05.014

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

447-50

issue

5

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(06)00234-2

journal_volume

13

pub_type

杂志文章,多中心研究

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