title: Hormone-releasing contraceptive implants: our experience of complex removals using preoperative ultrasound.
abstract: A known complication of hormone-releasing contraceptive implants is a nonpalpable device at time of intended removal. We report a preprocedure outpatient assessment that includes an ultrasound scan and surface marking. This technique, with avoidance of local infiltration anesthesia, facilitates implant removal and negates the need for concomitant imaging on the day of surgery. The cases we present were referred to our upper limb clinic after previous failed attempts at removal.
authors.affiliation: Orthopaedic Trainee Surgeon, Chapel Allerton Hospital, Chapeltown Road, Leeds LS7 4SA, United Kingdom. Electronic address: s.vollans@me.com.
authors.forename: S R
authors.initials: SR
authors.lastname: Vollans
authors.affiliation: Consultant Radiologists, Chapel Allerton Hospital, Chapeltown Road, Leeds LS7 4SA, United Kingdom.
authors.forename: A
authors.initials: A
authors.lastname: Grainger
authors.affiliation: Consultant Radiologists, Chapel Allerton Hospital, Chapeltown Road, Leeds LS7 4SA, United Kingdom.
authors.forename: P
authors.initials: P
authors.lastname: O'Connor
authors.affiliation: Consultant Shoulder & Elbow Surgeon, Chapel Allerton Hospital, Chapeltown Road, Leeds LS7 4SA, United Kingdom.
authors.forename: D
authors.initials: D
authors.lastname: Limb
mesh_terms: D001132:Arm / Q000000981:diagnostic imaging*; D003271:Contraceptive Agents, Female / Q000627:therapeutic use; D017135:Desogestrel / Q000627:therapeutic use; D020878:Device Removal / Q000379:methods*; D004343:Drug Implants / Q000009:adverse effects*; D005260:Female; D006801:Humans; D011300:Preoperative Care / Q000379:methods*; D014463:Ultrasonography
chemical_list: D003271:Contraceptive Agents, Female; D004343:Drug Implants; C044815:etonogestrel; D017135:Desogestrel
keywords: Implanon; Lost; Nexplanon; Retained; Retrieval; Ultrasound