Department of Obstetrics and Gynaecology, New Somerset Hospital and Faculty of Health Sciences, University of Cape Town, South Africa.
S Afr Med J. 2019 Jul 26;109(8):559-561. doi: 10.7196/SAMJ.2019.v109i8.14061.
The first difficult contraceptive implant removals clinic in sub-Saharan Africa was started 2 years ago at New Somerset Hospital in Cape Town, South Africa, and has seen two cases of implant migration. We report these cases here. The first was a case of fascial migration and the second one of migration via the cephalic vein, both to a site just anterior to the glenohumeral joint. Both implants were removed without complications. Even with correct insertion technique, migrations can occur. Healthcare providers need to know how to manage difficult removals, and how to access and refer to difficult removals services when necessary. These services must therefore be available in all settings where implants are offered, to ensure access to rights-based family planning services for all women in southern Africa.
两年前，南非开普敦新萨默塞特医院开设了撒哈拉以南非洲地区首家困难避孕植入物取出诊所，该诊所已接诊两例植入物迁移病例。我们在此报告这两例病例。第一例是筋膜迁移，第二例是通过头静脉迁移，均迁移至肩锁关节前方的位置。两例植入物均顺利取出，无并发症。即使采用正确的插入技术，也可能发生迁移。医疗保健提供者需要知道如何处理困难的取出手术，以及在必要时如何获取和转介困难的取出服务。因此，在提供植入物的所有环境中都必须提供这些服务，以确保南部非洲所有妇女都能获得基于权利的计划生育服务。
