Schuurman Teska, Veersema Sebastiaan
Department of Obstetrics and Gynecology, St. Antonius Hospital, Nieuwegein, Netherlands.
BMJ Case Rep. 2011 Aug 29;2011:bcr0420114138. doi: 10.1136/bcr.04.2011.4138.
This case report describes a successful hysteroscopic sterilisation using the Essure Permanent Birth Control device (Conceptus Inc., Mountain View, California, United States) after a failed procedure of the Adiana Permanent Contraception system (Hologic, Inc., Bedford, Maryland, United States). The delivery catheter of the Adiana system was able to be inserted into the left fallopian tube without difficulty and per manufacturer specifications. However, the position detection array was unable to sense four-quadrant tissue contact. The same issue occurred at the contralateral tube. Using the Essure system, the coils were able to be placed in both ostia easily and adequately. In patients in whom the Adiana system fails to occlude the fallopian tubes due to procedural, anatomic or device-related factors, the Essure procedure may be an efficient alternative.
本病例报告描述了在使用美国加利福尼亚州山景城的Conceptus公司生产的爱适易永久节育装置成功进行宫腔镜绝育术之前,美国马里兰州贝德福德的Hologic公司生产的Adiana永久避孕系统手术失败的情况。Adiana系统的输送导管能够按照制造商的规格顺利插入左侧输卵管。然而,位置检测阵列无法检测到四象限组织接触。对侧输卵管也出现了同样的问题。使用爱适易系统,线圈能够轻松且充分地放置在双侧输卵管开口处。对于因手术、解剖或器械相关因素导致Adiana系统未能阻塞输卵管的患者,爱适易手术可能是一种有效的替代方法。