Results We identified 8048 patients undergoing hysteroscopic

AbstractObjective To compare the safety and efficacy of hysteroscopic sterilization with the “Essure” device with laparoscopic sterilization in a large, all inclusive, state cohort.Participants Women undergoing interval sterilization procedure, including hysteroscopic sterilization with Essure device and laparoscopic surgery, between 2005 and 2013.Main outcomes measures Safety events within 30 days of procedures; unintended pregnancies and reoperations within one year of procedures. Mixed model accounting for hospital clustering was used to compare 30 day and 1 year outcomes, adjusting for patient characteristics and other confounders. Time to reoperation was evaluated using frailty model for time to event analysis.Results We identified 8048 patients undergoing hysteroscopic sterilization and 44278 undergoing laparoscopic sterilization between 2005 and 2013 in New York State.

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