Voedisch Amy, Hugin Michele
aDepartment of Obstetrics and Gynecology, Stanford University Medical Center, Stanford bDepartment of Obstetrics and Gynecology, Santa Clara Valley Medical Center, San Jose, California, USA.
Curr Opin Obstet Gynecol. 2017 Dec;29(6):449-457. doi: 10.1097/GCO.0000000000000416.
Subdermal contraceptive implant insertions have rapidly increased worldwide. These devices are usually removed 3-5 years after insertion. Although removals are generally straightforward, difficult removals can occur. This review discusses the overall approach to potentially problematic removals and the appropriate steps to avoid complications and safely remove implants.
Given the rapid uptake of contraceptive implants and subsequent need for removals, an Implants Removal Task Force was formed to create standard protocols for difficult implant removals worldwide. These protocols detail how to identify a nonpalpable implant and the subsequent steps needed for safe removals that avoid vascular or neurological complications.
Rapid uptake of subdermal implants has created a need for a comprehensive approach in the unlikely setting of a difficult implant removal. Standard protocols now exist to aid clinicians in the safe removal of these implants.
皮下避孕植入物的植入在全球范围内迅速增加。这些装置通常在植入后3至5年取出。虽然取出通常很简单，但也可能出现困难的取出情况。本综述讨论了处理潜在问题取出的总体方法以及避免并发症并安全取出植入物的适当步骤。
鉴于避孕植入物的迅速普及以及随后取出的需求，成立了植入物取出特别工作组，以制定全球范围内困难植入物取出的标准方案。这些方案详细说明了如何识别无法触及的植入物以及安全取出所需的后续步骤，以避免血管或神经并发症。
皮下植入物的迅速普及使得在不太可能出现的困难植入物取出情况下需要采取全面的方法。现在已有标准方案来帮助临床医生安全取出这些植入物。
