Site necrosis at the insertion place of the single-rod subdermal contraceptive implant: report of five cases

Abstract

Objective

Implant-site necrosis is a rare complication. We present a case-series of a necrosis as an adverse effect after the etonogestrel (ENG)-subdermal contraceptive implant placement.

Material and methods

Five women with site necrosis after the ENG-implant placement and their clinical manifestations and treatments.

Results

Local pain was the main symptom, appearing within 35 days of placement. Outpatient multidisciplinary treatment was undertaken. Local debridement and implant removal was performed in four out of the five women. Time to complete healing varied from 45 days to 12 months.

Conclusion

Early diagnosis and multidisciplinary treatment are essential to avoid severe aesthetic or functional damages and major life-threatening complications.

SHORT CONDENSATION

We presented five cases with necrosis at the ENG-implant site of placement in which we proposed an early diagnosis and multidisciplinary treatment to avoid severe aesthetic or functional damages.

摘要

目的: 种植体周围坏死是一种罕见的并发症。我们呈现了依托孕烯( ENG )皮下避孕埋植剂放置后坏死作为一种不良反应的病例系列。

材料与方法: 5例ENG - implant植入后发生部位坏死的女性患者及其临床表现和治疗。

结果: 局部疼痛为主要症状, 出现在放置35 d内。采用门诊多学科综合治疗。5名妇女中的4名进行了局部清创和植入物取出。完全愈合时间为45 d至12个月不等。

结论: 早期诊断和多学科治疗对于避免严重的美学或功能损害和危及生命的主要并发症至关重要。

小结

我们报道了5例ENG植入部位坏死的病例, 我们建议早期诊断和多学科治疗, 以避免严重的美学或功能损害。

Keywords:

• Contraceptive implant
• insertion-site necrosis
• complication
• severe side effects
• implanon

Disclosure statement

No potential conflict of interest was reported by the author(s).