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Difficult etonogestrel implant removals in South Africa: a review of 74 referred cases

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Petro, Gregory, Spence, Trevi, Patel, Malika, Gertz, Alida M and Morroni, Chelsea ORCID: https://orcid.org/0000-0002-2026-6039 (2020) 'Difficult etonogestrel implant removals in South Africa: a review of 74 referred cases'. Contraception, Vol 102, Issue 2, pp. 129-132.

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Abstract

Objectives: To assess etonogestrel contraceptive implant location and outcomes among women referred for “difficult” removal to a specialist clinic in South Africa.
Study Design: We performed a retrospective review of cases referred to our clinic for removal of nonpalpable, deep, migrated, or damaged implants, or failed removals from March-August 2017.
Results: Most (n=68, 92%) of the 74 referrals were nonpalpable in our clinic. We used ultrasound for localization and successfully removed 72 implants (97%) in the outpatient clinic.
Conclusion: With proper protocols and equipment, localization and removal of nonpalpable implants can be safely and effectively achieved in an outpatient African setting.

Item Type: Article
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 309 Women's health
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WP Gynecology > Contraception > WP 630 Contraception
WP Gynecology > Contraception > WP 640 Contraceptive devices (General and female)
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1016/j.contraception.2020.04.013
Depositing User: Tina Bowers
Date Deposited: 29 Apr 2020 15:00
Last Modified: 10 Aug 2020 11:07
URI: https://archive.lstmed.ac.uk/id/eprint/14338

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