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Titolo:
Tissue response to the STOP microcoil transcervical permanent contraceptive device: results from a prehysterectomy study
Autore:
Valle, RF; Carignan, CS; Wright, TC;
Indirizzi:
Northwestern Univ, Sch Med, Dept Obstet & Gynecol, Chicago, IL 60611 USA Northwestern Univ Chicago IL USA 60611 t & Gynecol, Chicago, IL 60611 USA Conceptus Inc, San Carlos, CA USA Conceptus Inc San Carlos CA USAConceptus Inc, San Carlos, CA USA Columbia Univ, Med Ctr, Dept Pathol, New York, NY USA Columbia Univ New York NY USA iv, Med Ctr, Dept Pathol, New York, NY USA
Titolo Testata:
FERTILITY AND STERILITY
fascicolo: 5, volume: 76, anno: 2001,
pagine: 974 - 980
SICI:
0015-0282(200111)76:5<974:TRTTSM>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
TUBAL-STERILIZATION; UNITED-STATES; COMPLICATIONS; PROSTHESES; VELOUR; DACRON;
Keywords:
contraception; transcervical sterilization; intratubal devices; histology of tubal tissue response; tubal occlusion;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Valle, RF Northwestern Univ, Sch Med, Dept Obstet & Gynecol, 680 N Lake Shore Dr,Suite 1015, Chicago, IL 60611 USA Northwestern Univ 680 N Lake ShoreDr,Suite 1015 Chicago IL USA 60611
Citazione:
R.F. Valle et al., "Tissue response to the STOP microcoil transcervical permanent contraceptive device: results from a prehysterectomy study", FERT STERIL, 76(5), 2001, pp. 974-980

Abstract

Objective: The present study examines the safety, effectiveness, and localtissue response for a new transcervical fallopian tube permanent contraceptive device, the STOP device (Conceptus, Inc., San Carlos, CA). Design: Nonrandomized prospective evaluation of tubal occlusion and histologic response. Setting: Inpatient, university and university-affiliated medical centers in the United States and Mexico. Patient(s): Premenopausal and perimenopausal women with benign indicationsfor hysterectomy who were able to defer their hysterectomy for 1 to 13 weeks. Intervention(s): A transcervically placed microcoil (STOP device) was inserted into the fallopian tubes of women who were scheduled for hysterectomy,and the device was worn for 1 to 12 weeks. At hysterectomy, hysterosalpingography was done to determine tubal occlusion; subsequently, the tubes containing the STOP devices were processed, sectioned, and evaluated to determine the histologic response. Main Outcome Measure(s): Ability to place a device and evaluate tubal occlusion and tissue response. Result(s): Devices were placed in 33 women, representing 57 tubes; the women wore the devices from 1 day to 30 weeks. Histology on 27 women (47 tubes) showed an acute inflammatory and fibrotic response in the short term that, over time, became a chronic inflammatory response with extensive fibrosis. Conclusion(s): The localized tissue response and notable absence of any normal tubal architecture in the segment of the fallopian tube containing theSTOP device supports the postulated mechanisms of action of the device. Prehysterectomy study findings suggest the usefulness of the STOP device for pregnancy prevention, this is being evaluated in long-term safety and effectiveness studies. (C) 2001 by American Society for Reproductive Medicine.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/21 alle ore 16:14:13