Difficult etonogestrel implant removals in South Africa: a review of 74 referred cases

Gregory Petro; Trevi Spence; Malika Patel; Alida M Gertz; Chelsea Morroni

doi:10.1016/j.contraception.2020.04.013

Difficult etonogestrel implant removals in South Africa: a review of 74 referred cases

Gregory Petro, Trevi Spence, Malika Patel, Alida M Gertz, Chelsea Morroni

International Public Health

Liverpool School of Tropical Medicine

Research output: Contribution to journal › Article › peer-review

14 Citations (Scopus)

Abstract

Objectives: To assess etonogestrel contraceptive implant location and outcomes among women referred for “difficult” removal to a specialist clinic in South Africa.

Study Design: We performed a retrospective review of cases referred to our clinic for removal of nonpalpable, deep, migrated, or damaged implants, or failed removals from March-August 2017.

Results: Most (n=68, 92%) of the 74 referrals were nonpalpable in our clinic. We used ultrasound for localization and successfully removed 72 implants (97%) in the outpatient clinic.

Conclusion: With proper protocols and equipment, localization and removal of nonpalpable implants can be safely and effectively achieved in an outpatient African setting.

Original language	English
Pages (from-to)	129-132
Number of pages	4
Journal	Contraception
Volume	102
Issue number	2
Early online date	24 Apr 2020
DOIs	https://doi.org/10.1016/j.contraception.2020.04.013
Publication status	Published - 1 Jul 2020

Keywords

Contraceptive implant
Difficult removal
Etonogestrel implant
South Africa

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10.1016/j.contraception.2020.04.013

Petro et al Manuscript Difficult Removals South Africa revision 4 15 April 2020 FINALSubmitted manuscript, 38.8 KB
Difficult etonogestrel implant removals in South Africa a review of 74 referred cases Elsevier Enhanced ReaderAccepted author manuscript, 139 KBLicence: CC BY-NC-ND

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title = "Difficult etonogestrel implant removals in South Africa: a review of 74 referred cases",

abstract = "Objectives: To assess etonogestrel contraceptive implant location and outcomes among women referred for “difficult” removal to a specialist clinic in South Africa.Study Design: We performed a retrospective review of cases referred to our clinic for removal of nonpalpable, deep, migrated, or damaged implants, or failed removals from March-August 2017.Results: Most (n=68, 92\%) of the 74 referrals were nonpalpable in our clinic. We used ultrasound for localization and successfully removed 72 implants (97\%) in the outpatient clinic. Conclusion: With proper protocols and equipment, localization and removal of nonpalpable implants can be safely and effectively achieved in an outpatient African setting.",

keywords = "Contraceptive implant, Difficult removal, Etonogestrel implant, South Africa",

author = "Gregory Petro and Trevi Spence and Malika Patel and Gertz, \{Alida M\} and Chelsea Morroni",

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T1 - Difficult etonogestrel implant removals in South Africa: a review of 74 referred cases

AU - Petro, Gregory

AU - Spence, Trevi

AU - Patel, Malika

AU - Gertz, Alida M

AU - Morroni, Chelsea

PY - 2020/7/1

Y1 - 2020/7/1

N2 - Objectives: To assess etonogestrel contraceptive implant location and outcomes among women referred for “difficult” removal to a specialist clinic in South Africa.Study Design: We performed a retrospective review of cases referred to our clinic for removal of nonpalpable, deep, migrated, or damaged implants, or failed removals from March-August 2017.Results: Most (n=68, 92%) of the 74 referrals were nonpalpable in our clinic. We used ultrasound for localization and successfully removed 72 implants (97%) in the outpatient clinic. Conclusion: With proper protocols and equipment, localization and removal of nonpalpable implants can be safely and effectively achieved in an outpatient African setting.

AB - Objectives: To assess etonogestrel contraceptive implant location and outcomes among women referred for “difficult” removal to a specialist clinic in South Africa.Study Design: We performed a retrospective review of cases referred to our clinic for removal of nonpalpable, deep, migrated, or damaged implants, or failed removals from March-August 2017.Results: Most (n=68, 92%) of the 74 referrals were nonpalpable in our clinic. We used ultrasound for localization and successfully removed 72 implants (97%) in the outpatient clinic. Conclusion: With proper protocols and equipment, localization and removal of nonpalpable implants can be safely and effectively achieved in an outpatient African setting.

KW - Contraceptive implant

KW - Difficult removal

KW - Etonogestrel implant

KW - South Africa

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DO - 10.1016/j.contraception.2020.04.013

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EP - 132

JO - Contraception

JF - Contraception

IS - 2

ER -

Difficult etonogestrel implant removals in South Africa: a review of 74 referred cases

Abstract

Keywords

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