Laparoscopic techniques for Essure device removal

Brought to you by the Society of Gynecologic Surgeons. In this video, the authors illustrate laparoscopic techniques for Essure removal using a 4-step approach as well as a simplified method of specimen removal. The 4 steps include understanding the device anatomy, identifying and localizing the device, removing the device laparoscopically using salpingostomy/salpingectomy and salpingectomy/cornuectomy, and removing the specimen. Specific surgical dissection techniques are highlighted. Laparoscopic removal of Essure devices is feasible, safe, and effective when a stepwise approach is used, and it may be beneficial for patients seeking surgical management of Essure-related symptoms.