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To evaluate the different techniques for Essure® microinserts removal and to assess the risk of fracture of the device and the intra- and post-operative complications in relation to surgical technique variants Electronic search in Medline, Scopus and Embase databases using the following keywords: Essure; Essure removal; Essure surgical technique. Out of 95 articles in the initial database, 17 studies were eligible for inclusion in our literature review. Several surgical techniques have been described in which the most frequent were laparoscopic salpingectomy (LS), laparoscopic cornuectomy (LC), laparoscopic or vaginal hysterectomy (LH, VH) with en-bloc salpingectomy. There were more fractures of the device with the LS procedure (6.25%) followed by the LC technique (2.77%), while there was no fracture with hysterectomy. However, peri-and post-operative complications were more severe and frequent with hysterectomy in comparison with the LC and LS procedures (respectively 8.1% Clavien Dindo grade 3 for the hysterectomy group, 1.11% for the LC procedure and 0.69% for the LS technique). Due to the lack of standardised surgical treatment guidelines, a system of care networks for symptomatic patients with adverse effects related to Essure® headed by specialised centres may offer a suitable and high-quality management with the appropriate removal techniques within two objectives: limiting the risk of fracture (with an en-bloc removal of the Essure® microinserts) and avoiding intra- and post-operative complications. [ABSTRACT FROM AUTHOR]

This research was carried out to evaluate a local biogas plant's solid fraction digestate spreading in a citrus orchard and vineyard. Three spreaders were tested: a broadcast manure spreader in the citrus orchard, and two cylindrical-shaped spreaders in the vineyard; the first one working in broadcast configuration, the second one in localised configuration. Experimental tests assessed effective work time, mean work speed, digestate flow rate and longitudinal and transverse spreading uniformity. In the citrus orchard, the digestate was mainly spread in the centre of the inter-row (around 66%), with low variability between inter-rows (coefficient of variation (CV) equal to 2.7%) and much higher variability within inter-rows (CV = 31.4%). The effective work time was about 28% of total field time and real work capacity was about 0.96 ha h−1. In the vineyard, broadcast spreading released more on the right compared to the left (ratio 1.74) due to distributor disc rotation, whereas localised spreading was more uniform. Overall, variability between inter-rows had CV = 15.1% and within inter-rows CV = 33.3%. Real work capacity was about 0.16 ha h−1 for broadcast spreading and 0.26 ha h−1 for localised spreading. A preliminary economic evaluation, based on sub-contractor tariffs, produced the mean tariff for transaction and spreading costs of digestate in farms near the biogas plant.