Easy method for Implanon removal.
نویسنده
چکیده
The use of Implanon®/Nexplanon® has been growing in general practice and family planning clinics since its introduction in 1999. It is the most effective hormonal contraceptive available today, preventing 999 in 1000 pregnancies over its recommended period of use. I have been practising a technique for the removal for the past 8 years that I have found to be easier than the traditional one. With this method an implant can be removed within a couple of minutes but occasionally can take a little longer. The fi rst step is to feel the distal end of the implant with your fi ngers and insert a 25G blue needle under the implant approximately 3⁄4 cm from the end to bring the needle to the other side as shown in Figure 1. I use 1 ml of 2% lidocaine to anaesthetise just below the tip. The next step is a deliberate incision through the dermis with a No 15 scalpel blade which should be at a 45° angle so that it goes just under the implant (Figure 2). Most of the time the implant is visible through the
منابع مشابه
Location and removal of non-palpable Implanon implants with the aid of ultrasound guidance.
BACKGROUND Implanon insertion appears to be an easy procedure, but in a small minority of cases difficulties have been encountered with removal if the rod is impalpable. METHODS Patients were referred to the contraceptive and sexual health service with non-palpable Implanon. Following a clinical assessment and examination of the arm where the implant had been inserted, an ultrasound examinati...
متن کاملIndications for removal of etonogestrel implant within two years of use in Jos, Nigeria.
BACKGROUND Implanon is a new long-term and reversible sub-dermal contraceptive implant in Nigeria. It is a single rod containing 68mg of etonogestrel meant to offer contraception for three years and marketed by Organon. OBJECTIVE To determine the indications for removal of Implanon rods from clients within a two-year period. DESIGN A retrospective review of 30 consecutive Implanon removals ...
متن کاملSpontaneous snapping of an Implanon in two halves in situ.
A 30-year-old woman presented at our family planning clinic for Implanon removal and reinsertion. At the time of presentation the patient's weight was 148 kg. The Implanon was fitted in July 2000 (i.e. 35 months previously) when her weight was 138.5 kg. The patient was very happy with the contraceptive method. She was aware that her Implanon had snapped in half about 2 months ago. There was no ...
متن کاملAllergy to nexplanon®.
A 32-year-old woman presented requiring contraception. She had previously had an Implanon inserted, but this had been removed to allow her to become pregnant. Following her pregnancy she wished to use a long-term contraceptive method and requested another Implanon. Following insertion of a Nexplanon within 24 hours the site was red and inflamed. The redness was <0.5 mm around the outline of the...
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عنوان ژورنال:
- The journal of family planning and reproductive health care
دوره 38 3 شماره
صفحات -
تاریخ انتشار 2012