title: Nerve injury caused by removal of an implantable hormonal contraceptive.
abstract: Implanon insertion and removal are relatively uncomplicated procedures in the hands of medical professionals familiar with the technique. However, injury to branches of the medial antebrachial cutaneous nerve during Implanon insertion and removal can result in impaired sensibility, severe localized pain, or the formation of painful neuroma that can be quite devastating to the patient. The best way to avoid injury to the medial antebrachial cutaneous nerve is to better understand its position relative to the standard area of Implanon insertion. In the event that an injury to the nerve is recognized, immediate plastic surgical measures should be undertaken to avoid displeasing sequels of nerve injuries. Therefore, the benefit of this generally well-tolerated, highly effective, and relatively cost-efficient contraception is guaranteed only in the hands of medical professionals familiar with the technique.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Innsbruck Medical University, Innsbruck, Austria. gottfried.wechselberger@uibk.ac.at
authors.forename: Gottfried
authors.initials: G
authors.lastname: Wechselberger
authors.forename: Dolores
authors.initials: D
authors.lastname: Wolfram
authors.forename: Petra
authors.initials: P
authors.lastname: Pülzl
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Soelder
authors.forename: Thomas
authors.initials: T
authors.lastname: Schoeller
mesh_terms: D000328:Adult; D001132:Arm / Q000294:innervation*; D017135:Desogestrel / Q000008:administration & dosage*; D020878:Device Removal / Q000009:adverse effects*; D005260:Female; D006801:Humans; D045167:Progesterone Congeners / Q000008:administration & dosage*; D019736:Prostheses and Implants / Q000009:adverse effects*; D012867:Skin / Q000294:innervation*
chemical_list: D045167:Progesterone Congeners; C044815:etonogestrel; D017135:Desogestrel