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Chronic Implantation of Multiple Flexible Polymer Electrode Arrays
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Difficult implant removals.

Amy Voedisch1, Michele Hugin

  • 1aDepartment of Obstetrics and Gynecology, Stanford University Medical Center, Stanford bDepartment of Obstetrics and Gynecology, Santa Clara Valley Medical Center, San Jose, California, USA.

Current Opinion in Obstetrics & Gynecology
|September 23, 2017
PubMed
Summary

Difficult contraceptive implant removals are becoming more common due to increased usage. Standardized protocols now guide clinicians in safely identifying and removing nonpalpable implants, minimizing complications.

Area of Science:

  • Reproductive Health
  • Medical Device Removal
  • Surgical Protocols

Background:

  • Subdermal contraceptive implant insertions have seen a significant global increase.
  • While most removals are routine, challenging removals can occur, necessitating specific management strategies.

Purpose of the Study:

  • To review the general approach for managing potentially difficult subdermal contraceptive implant removals.
  • To outline steps for avoiding complications and ensuring safe implant removal.

Main Methods:

  • Formation of an Implants Removal Task Force to develop standardized protocols.
  • Development of guidelines for identifying nonpalpable implants and subsequent removal procedures.

Main Results:

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  • Standard protocols now exist for difficult contraceptive implant removals.
  • These protocols address the identification of nonpalpable implants.
  • The guidelines aim to prevent vascular or neurological complications during removal.

    • Conclusions:

    • The widespread use of subdermal implants necessitates comprehensive strategies for rare difficult removals.
    • Established protocols support clinicians in achieving safe and effective implant removal.