TITLE:
Complications Related to the Insertion Technique of Jadelle® Contraceptive Implants
AUTHORS:
Astou Coly Niassy, Moussa Diallo, Tatiana Sandjon, Ibrahim Rahadat, Marie-Édouard Faye, Ndeye Fatou Coulibaly, Alassane Diouf, Jean-Charles Moreau
KEYWORDS:
Contraception, Implants, Incidents, Insertion, Removal
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.2,
February
14,
2023
ABSTRACT: Introduction: Contraceptive implants are one of the most effective
methods of birth spacing. Jadelle® implants
consist of two strands that are easy to insert and remove. Although their
effectiveness is no longer in question, their use (insertion) requires a
surgical procedure with the corollary possibility of complications. These are
mainly insertions that are too deep (in the arm muscle), vascular and nerve
damage. Material and Methods: Our study focused on complications related
to implant insertion. It was a descriptive and retrospective study over
thirty-four months, from October 2016 to July 2019, and concerned all patients
seen in consultation and who presented a complication related to the insertion
of contraceptive implants in the Department of Gynecology and Obstetrics of the
National Hospital of Pikine. Results: We collected nine complications
managed at the Gynecology and Obstetrics Department of the Centre Hospitalier
National de Pikine from 2016 to 2019. These were insertions that were too deep
with sometimes nerve damage, infection or incident during anesthesia. The
operative procedures were based on the type of complication. Conclusion: Although
Jadelle® has the advantage of having only 2 rods compared to its predecessor
Norplant®, its use is also conditioned by insertion and removal procedures which
may experience complications.