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Proximal occlusion of hydrosalpinges by Essure(®) before assisted reproduction techniques: a French survey.

Eur J Obstet Gynecol Reprod Biol. 2014 Oct;181:300-4. doi: 10.1016/j.ejogrb.2014.07.020. Epub 2014 Jul 30.

Legendre G1, Moulin J1, Vialard J2, Ziegler DD3, Fanchin R4, Pouly JL5, Watrelot A6, Belaisch Allart J7, Massin N8, Fernandez H9.
Author information 1Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- Hôpital de Bicêtre, Le Kremlin-Bicêtre, France.2Service de Gynécologie-Obstétrique, Clinique mutualiste La Sagesse, Rennes, France.3Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- maternité Port Royal, Hôpital Cochin, France.4Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- Hôpital Antoine Béclère, Clamart, France.5Service de Gynécologie-Obstétrique, CHU de Clermont-Ferrand, CHU d’Estaing, Clermont-Ferrand, France.6Service de Gynécologie Obstétrique, Hôpital privé Natecia, Lyon, France.7Service de Gynécologie Obstétrique, Centre hospitalier des quatre villes, Sèvres, France.8Service de Gynécologie Obstétrique, Centre hospitalier intercommunal de Créteil, Créteil, France.9Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- Hôpital de Bicêtre, Le Kremlin-Bicêtre, France. Electronic address: herve.fernandez@bct.aphp.fr.
Eur J Obstet Gynecol Reprod Biol
ABSTRACT
AbstractOBJECTIVES: To study the feasibility and results (live-birth and complication rates) of placement of Essure(®) microinserts before assisted reproductive technology (ART) treatment of women with hydrosalpinx when laparoscopy should be avoided. Study design National survey of 45 French hospital centres providing ART reporting a retrospective analysis of 43 women with unilateral or bilateral hydrosalpinges and Essure(®) placement. The results of the following ART cycle were studied for 54 embryo transfers.RESULTS: The placement success rate reached 92.8% (65/70 tubes), and the mean number of visible intrauterine coils was 1.61 (range: 0-6). Pyosalpinx occurred in one case, and expulsion of the device into the uterus in two others. Of 43 women, 29 (67.4%) had a total of 54 fresh or frozen embryos transferred. The clinical pregnancy rate was 40.7% (22/54) and the live-birth rate 25.9% (14/54). The implantation rate was 29.3% (27/92).CONCLUSION: Essure(®) placement is an effective method for occlusion of hydrosalpinges before IVF. Monitoring the live-birth rate confirms that this option is the strongest in cases when laparoscopy is impossible or contraindicated.Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Full Text Source: Elsevier Science
PMID:25201610 | http://www.ncbi.nlm.nih.gov/pubmed/25201610

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