Jansen Nicoline E, Vleugels Michel P H, Kluivers Kirsten B, Vierhout Mark E
Department of Obstetrics and Gynecology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
J Minim Invasive Gynecol. 2007 Jul-Aug;14(4):509-11. doi: 10.1016/j.jmig.2007.03.003.
Endometrial ablation is used extensively to treat dysfunctional bleeding. Since the introduction of Essure tubal sterilization, this permanent contraception method has been widely used. Both endometrial ablation and Essure sterilization are procedures reported to have only a few complications. We describe a serious infectious complication shortly after an endometrial ablation in a patient with Essure microinserts in situ. To our knowledge, this complication has not been reported before in patients with Essure microinserts in situ. We suggest administering prophylactic antibiotics before endometrial ablation in women with Essure microinserts in situ.
子宫内膜消融术被广泛用于治疗功能失调性子宫出血。自依苏拉输卵管绝育术问世以来,这种永久性避孕方法已被广泛应用。据报道,子宫内膜消融术和依苏拉绝育术这两种手术的并发症都很少。我们描述了一例在原位植入依苏拉微插入物的患者进行子宫内膜消融术后不久出现的严重感染并发症。据我们所知,这种并发症此前在原位植入依苏拉微插入物的患者中尚未有过报道。我们建议对原位植入依苏拉微插入物的女性在进行子宫内膜消融术前给予预防性抗生素治疗。