Shihata A A, Salzetti R G, Schnepper F W, Deutsch G
Scripps Institutions of Medicine and Sciences, San Diego, California, USA.
Contraception. 1995 Feb;51(2):83-5. doi: 10.1016/0010-7824(94)00012-l.
This study evaluates a unique and completely different approach from the original removal technique. The main objective of this technique is to facilitate removal of widely-spaced, deeply-positioned, and misplaced Norplant capsules. A local anesthetic is injected deep and perpendicular to the long axis of the Norplant rods. The hypodermic needle is left in place underneath the six silicone rods for the entire removal procedure. One or two 3-4mm vertical incisions were made between the capsules over the needle. The Norplant rods were dissected free from the fibrous tissue and the skin with a #11 blade. A curved mosquito forceps was inserted between the skin and the Norplant rod, to hook and deliver the capsule through the incision, from where it can be easily removed. This method resulted in far less time, effort, and skill from the health care provider, no damage to the capsules, and much less trauma to the clients.
本研究评估了一种与原始取出技术截然不同的独特方法。该技术的主要目的是便于取出间隔宽、位置深且位置不当的诺普兰胶囊。将局部麻醉剂垂直于诺普兰棒的长轴深部注射。在整个取出过程中，皮下注射针留在六根硅胶棒下方的位置。在针上方的胶囊之间做一或两个3 - 4毫米的垂直切口。用11号刀片将诺普兰棒从纤维组织和皮肤中分离出来。将弯蚊式止血钳插入皮肤和诺普兰棒之间，钩住胶囊并通过切口取出，这样就可以轻松取出胶囊。这种方法为医护人员节省了大量时间、精力和技能，不会损坏胶囊，对受术者的创伤也小得多。
