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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2014, Number 10

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Ginecol Obstet Mex 2014; 82 (10)

Complex location of a single rod contraceptive implant

Buitrón-García-F R, Oropeza-Rechy G, González-de la Cruz J, Lara-Ricalde R
Full text How to cite this article

Language: Spanish
References: 8
Page: 666-671
PDF size: 595.13 Kb.


Key words:

Single-rod contraceptive implant, ultrasound, complex localization.

ABSTRACT

Background: The subdermic single-rod contraceptive implant is used for more than 2.5 million of womens around the world (in México there are around 600 000 collocated implants). in a small number of cases an incorrect insertion procedure is caused by a complex localizaron.
Methods: A clinical, retrospective, descriptive study was conducted in the period January 2011 to December 2013. the Family Planning Service of the General Hospital of Mexico Dr. Eduardo Liceaga.
Results: A total of 21 patients were included. In all cases the implant was not palpable in 20 patients and was located by ultrasound and removed. 10 implants were in Fatty tissue, 6 in muscle , 2 in fatty tissue and muscle and 2 were located in armpit.
Conclusions: Due to simplitcity and accessibility, the ultrasound is the selected method for identifying deeply non-palpable implants.


REFERENCES

  1. Heather H. Examining the efficacy, safety, and patient acceptability of the etonogestrel implantable contraceptive. Patient Preference and Adherence 2009:3;205-211.

  2. Urbancek J. An integrated analysis of nonmenstrual adverse events with Implanon. Contraception 1998;58 (Suppl):1095-1155.

  3. Mascarenhas L. Insertion and removal of Implanon. Contraception 1998: 58 (Suppl):79S-83S

  4. Mascarenhas L. Insertion and removal of Implanon: practical considerations. Eur J Contracept Reprod Health Care 2000;5 (Suppl):29-34.

  5. Lantz A, Nosher JL, Pasquale S, Siegel RL. Ultrasound characteristics of subdermally implanted Implanon contraceptive rods. Contraception 1997;56:323-327

  6. Kaptein MCJ, Ganpat R. Localization of non-palpable singlerod implants using ultrasound sonography. Eur J Contraccp Reprod Health Care 2002;7(Suppl 1):86.

  7. Merki-FieldGS, Brekenfeld C, Migge B. Keller PJ. Nonplalpable ultrasonographocally not detectable Implanon rodscan be localized by magnetic resonance imaging. Contraception 2001;63:325-328

  8. Raymond EG. Contraceptive Implants. In: Hatcher R, Robert A, Nelson TJ. Contraceptive Technology (I9th revised) New York: Ardcnt Media, 2011;144-156. Buitrón García Figueroa R G 9




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Ginecol Obstet Mex. 2014;82