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'U' technique and standard technique of Norplant removal
R Praptohardjo1, U Praptohardjo
1Department of Obstetrics and Gynaecology, Medical Faculty, Diponegoro University, Dr Kariadi Hospital, Semarang, Central Java, Indonesia.
Objectives:
To compare the side effects and time required for Norplant removal between the 'U' technique (using the no-scalpel vas deferens holding forceps) and the standard technique.
Materials And Methods:
A randomized controlled clinical trial was carried out of acceptors in family planning clinics in Dr Kariadi Hospital, Semarang, who wanted to have Norplant removal. The Norplant was removed by experienced doctors who had been trained for both the 'U' technique and the standard technique. Removal time, capsule condition and complications were examined.
Results:
From 41 clients in the 'U' technique group and 41 clients in the standard technique group, the removal times were 2.75 +/- 1.28 and 6.57 +/- 2.93 minutes, respectively (p < 0.01). One week after Norplant removal, complications were found in 5 clients, 1 from the 'U' technique group (2.44%) and 4 from the standard technique group (9.76%). Two weeks after Norplant removal no complications were found.
Conclusion:
The 'U' technique was quicker and less complicated compared with the standard technique.