Essure transcervical sterilization
by Enrique Cayuela Font, Tirso Pérez-Medina

Diagnostic and Operative Hysteroscopy

by Tirso Pérez-Medina, Enrique Cayuela Font
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This device consists of an expandable spring (outer coil) made of titanium alloy and nickel. Inside the device, there are some terephthalate polyethylene (Dacron) fibers that are attached to a central steel shaft (inner coil) made of different metals alloys iron, chromium, nickel. The device is inserted into the working channel and advanced slowly. Orientation of the hysteroscope must continue until the tubal ostium is centered. The spring is uncoiled by pressing the button of the applicator handle and rotating the cog towards you again. From 3 to 10 loops should be visible in the uterine cavity, this is the ideal situation, although between 1 and 14 is also correct.

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