Dr. Dan C. Martin's
Clinical Practice is at:
UT Medical Group, Inc.
7945 Wolf River Blvd
Suite 320
Germantown,
TN 38138
Phone (901) 347-8331
Fax (901) 347-8188
The "Random Photos" section is a holding file of material that may be used in other section on this site or at DanMartinMD.com. Although plan is to keep the material here as an archive, it may be moved or at a different site the next time you visit. Bookmarks may not link to the same page.
Essure Device in Endometrial Cavity and Tubes in a Woman with Abnormal Bleeding
Figure
1. The Essure devices are seen in the tubal openings of both tubes in a
woman with abnormal bleeding. IVF had
been considered but she had an abnormal CCT.
Figure
2. An Essure device is seen in the tubal opening of the right tube.
Figure
3. An Essure device is seen in the tubal opening of the left
tube.
Figure
4. This is a close up picture of the Essure device on the right.
At a subsequent surgery, laparoscopy was used to monitor hysteroscopic removal of the Essure device. The inner coil was pulled free first. The outer coil was removed using slow tension and observing the coil with both hysteroscopy and laparoscopy. There was no excess bleeding. Dye was injected and there was no spill consistent with a fibrotic cornual occlusion. She was discharged in good condition.
The company warns that removal may be attempted, during the actual placement procedure, if 18 or more coils of the Essure micro-insert are trailing into the uterine cavity. "Attempted removal of a micro-insert having less than 18 coils trailing into the uterine cavity may result in fallopian tube perforation or other patient injury." http://www.essure.com/hcp/hcp_faq.aspx#faq6 (10 Jul 2005).