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Nerve injury caused by removal of an implantable hormonal contraceptive.

Abstract
Implanon insertion and removal are relatively uncomplicated procedures in the hands of medical professionals familiar with the technique. However, injury to branches of the medial antebrachial cutaneous nerve during Implanon insertion and removal can result in impaired sensibility, severe localized pain, or the formation of painful neuroma that can be quite devastating to the patient. The best way to avoid injury to the medial antebrachial cutaneous nerve is to better understand its position relative to the standard area of Implanon insertion. In the event that an injury to the nerve is recognized, immediate plastic surgical measures should be undertaken to avoid displeasing sequels of nerve injuries. Therefore, the benefit of this generally well-tolerated, highly effective, and relatively cost-efficient contraception is guaranteed only in the hands of medical professionals familiar with the technique.
AuthorsGottfried Wechselberger, Dolores Wolfram, Petra Pülzl, Elisabeth Soelder, Thomas Schoeller
JournalAmerican journal of obstetrics and gynecology (Am J Obstet Gynecol) Vol. 195 Issue 1 Pg. 323-6 (Jul 2006) ISSN: 1097-6868 [Electronic] United States
PMID16813761 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Progesterone Congeners
  • etonogestrel
  • Desogestrel
Topics
  • Adult
  • Arm (innervation)
  • Desogestrel (administration & dosage)
  • Device Removal (adverse effects)
  • Female
  • Humans
  • Progesterone Congeners (administration & dosage)
  • Prostheses and Implants (adverse effects)
  • Skin (innervation)

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