Location and removal of non-palpable subdermal single-rod contraceptive implant

Abstract Objective: The objective of the study was to present the experience of the family planning service Hospital General de México, in locating and removing no palpable subdermal single-rod contraceptive implants. Materials and methods: A descriptive, prospective, and cross-sectional study was performed from January 2011 to April 2018. Results: Hundred and sixty-four patients in whom the implant was not palpable were reviewed, the time between insertion and removal averaged 3.3 years (maximum 10 years and minimum 3 months). Three implants were inserted in the right arm, the rest on the left one. Forty-seven implants were found in fatty tissue (29%), 18 in fascia (11%), 94 in muscle (57%), 2 in the armpit (1.2%), and 3 were not found (1.8%). Conclusions: The no palpable implant is caused by an incorrect insertion technique. Migration should not be assumed as a cause of difficult location. Amount of non-palpable implants is not possible to determine due to a lack of records, but approximately 3% are considered non-palpable. Ultrasound has proven to be the study of choice to locate an incorrect inserted implant. In this case, the total number of implants was located, except in two patients.

Bibliographic Details

Main Authors:	Buitrón-García-Figueroa,Rafael, Zancatl-Díaz,Martha L., Basurto-Kuba,Erich O.P., Alvarez-Alfaro,Óscar
Format:	Digital revista
Language:	English
Published:	Academia Mexicana de Cirugía A.C. 2020
Online Access:	http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2020000400485
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