Difficult removal of subdermal contraceptive implants: a multidisciplinary approach involving a peripheral nerve expert.

ABSTRACT:

Objectives

We aim to describe our experiences and identify patients who may benefit from referral to a peripheral nerve surgeon for removal of contraceptive subdermal implants in which neurovascular injury may occur, and describe a treatment pathway for optimal care.

Study design

We reviewed the charts of 22 patients who were referred to the Division of Family Planning for difficult removal of etonogestrel contraceptive implants between January 1, 2014, and April, 1 2016. Of these, five were referred to a peripheral nerve surgeon due to pain or location of the implant. We evaluated and described these cases and, from our findings, developed recommendations for care in a multidisciplinary team approach.

Results

Two patients reported pain, including one with four previo

SUBMITTER: Odom EB 

PROVIDER: S-EPMC5555624 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature