Subfascial‐located contraceptive devices requiring surgical removal, Contraception and Reproductive Medicine

Background Subdermal etonogestrel implants are highly effective contraceptive methods. Despite standardization of insertion technique by the manufacturer, some implants are inadvertently placed too deeply within or below the plane of the biceps brachii fascia. Placement of these implants in a deep tissue plane results in more difficult removal, which is not always possible in the office setting. In rare cases, surgical removal by an upper extremity surgeon is warranted. Case presentation Here we present 6 cases of etonogestrel implants located in a subfascial plane requiring removal by an upper extremity surgeon. Implants were all localized with plain radiography and ultrasound prior to surgical removal. All cases had implants located in the subfascial plane and one was identified intramuscularly. The average age was 28 years (19–33) and BMI was 24.0 kg/m^2 (19.1–36.5), with the most common reason for removal being irregular bleeding. The majority of cases (5/6) were performed under monitored anesthesia care with local anesthetic and one case utilized regional anesthesia. All implants were surgically removed without complication. Conclusions Insertion of etonogestrel contraceptive implants deep to the biceps brachii fascia is a rare, but dangerous complication. Removal of these implants is not always successful in the office setting and referral to an upper extremity surgeon is necessary to avoid damage to delicate neurovascular structures for safe removal.

Peripheral nerve injury with Nexplanon removal: case report and review of the literature, Contraception and Reproductive Medicine

Sterilization - Non-Surgery Options for Permanent Birth Control

Introduction USMEC

CDC Article-US Medical Eligibility Criteria for Contraceptive Use, 2010

PDF) Removal of a Nexplanon® implant located in the biceps muscle using a combination of ultrasound and fluoroscopy guidance

Essential Surgery by World Bank Publications - Issuu

Surgical Removal of Subdermal Contraceptive Implants

Biology] Birth Control - Meaning, Methods, Types (with examples)

Ulnar nerve reconstruction using cabled autologous sural nerve graft.

Peripheral nerve injury with Nexplanon removal: case report and review of the literature, Contraception and Reproductive Medicine

U.S. Medical Eligibility Criteria for Contraceptive Use, 2016

IUD (Intra Uterine Device)