title: A hook-traction technique for Norplant removal.
abstract: We describe a simple technique to facilitate the removal of difficult-to-remove Norplant implants. Through a standard skin incision for Norplant removal, the fibrous capsule surrounding the implant is secured using either a dermatologic skin hook or a 25-gauge hypodermic needle fashioned into a hook with a hemostat. Traction is applied to bring the fibrous sheath into the incision site, where the implant tip is dissected free using a scalpel. The precisely localized countertraction afforded by this technique provides increased accuracy and speed for the removal of difficult-to-extract implants. Tissue trauma is minimized and the need to extend the skin incision is reduced.
authors.affiliation: Maine Medical Center, Portland, USA.
authors.forename: C R
authors.initials: CR
authors.lastname: Ward
authors.forename: C M
authors.initials: CM
authors.lastname: Peterson
authors.forename: H H
authors.initials: HH
authors.lastname: Hatasaka
mesh_terms: D003271:Contraceptive Agents, Female; D004343:Drug Implants; D005260:Female; D006176:Gynecology / Q000295:instrumentation / Q000379:methods; D006801:Humans; D016912:Levonorgestrel
chemical_list: D003271:Contraceptive Agents, Female; D004343:Drug Implants; D016912:Levonorgestrel