Implants: techniques for fitting and removal
Shefras, J.
Journal of Family Planning and Reproductive Health Care 39(1): 65
2013
ISSN/ISBN: 1471-1893 PMID: 23296866 DOI: 10.1136/jfprhc-2012-100494Document Number: 565807
The two letters describing individuals’ different techniques for implant removal that have appeared in recent issues of this Journal are timely. Routine removal with or without refit is common practice throughout the UK as implants have become widely available and popular. It is not yet clear whether introduction of Nexplanon® (MSD, Hoddesdon, UK) will lead to fewer difficult removals. It is evident from the aforementioned letters and conversations between clinicians that diverse and innovative approaches have evolved for fit and removal. These letters are therefore relevant as they highlight the need to recognise key principles to follow when removing (and fitting) implants. Whatever the technique it should be minimally traumatic/invasive, effective and – importantly – safe for the patient and safe for the operator. Dr Menon questions the merit of Dr Kandiyil's splinting technique for routine removal. He points out that blind.