Removal of deeply inserted, nonpalpable levonorgestrel (Norplant) implants.
Deeply inserted, nonpalpable contraceptive implants can often be removed easily using 6-8 cm3 of 1% lidocaine and a single 1 cm incision. There is no need for suturing of the incision. The location of nonpalpable implants not retrieved by this procedure can be determined by a plain, soft tissue x-ray (standard AP and lateral and internal oblique; 45-55 kVP) of the area where the implants are inserted. Removal can then be accomplished several weeks later.
Sarma
S P
SP
Morehouse School of Medicine, Grady Health System, Atlanta, GA 30303, USA.
Wamsher
J G
JG
Whitlock
S W
SW
D000698:Analgesia; D001132:Arm / Q000000981:diagnostic imaging / Q000601:surgery; D004343:Drug Implants; D005260:Female; D006801:Humans; D016912:Levonorgestrel / Q000008:administration & dosage*; D008012:Lidocaine; D010173:Palpation; D011859:Radiography; D013514:Surgical Procedures, Operative / Q000379:methods*; D014463:Ultrasonography
D004343:Drug Implants; D016912:Levonorgestrel; D008012:Lidocaine