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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
1 Pt 1
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pubmed:dateCreated |
1995-3-9
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pubmed:abstractText |
Injury to major neurovascular structures of the upper arm is a complication to be kept in mind, especially during difficult levonorgestrel implant removal. The risk of such an injury may be higher if the implants are inserted deeply over the brachial groove, where four major structures, namely, the basilic vein, the ulnar and median nerves, and the brachial artery, are located.
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pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Americas,
http://linkedlifedata.com/resource/pubmed/keyword/Contraception,
http://linkedlifedata.com/resource/pubmed/keyword/Contraception Termination,
http://linkedlifedata.com/resource/pubmed/keyword/Contraceptive Agents,
http://linkedlifedata.com/resource/pubmed/keyword/Contraceptive Agents, Female,
http://linkedlifedata.com/resource/pubmed/keyword/Contraceptive Agents, Progestin,
http://linkedlifedata.com/resource/pubmed/keyword/Contraceptive Implants--complications,
http://linkedlifedata.com/resource/pubmed/keyword/Contraceptive Methods--complications,
http://linkedlifedata.com/resource/pubmed/keyword/Developed Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning,
http://linkedlifedata.com/resource/pubmed/keyword/Levonorgestrel,
http://linkedlifedata.com/resource/pubmed/keyword/North America,
http://linkedlifedata.com/resource/pubmed/keyword/Northern America,
http://linkedlifedata.com/resource/pubmed/keyword/Pain--prevention and control,
http://linkedlifedata.com/resource/pubmed/keyword/Signs And Symptoms,
http://linkedlifedata.com/resource/pubmed/keyword/Treatment,
http://linkedlifedata.com/resource/pubmed/keyword/United States
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
AIM
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pubmed:chemical |
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0002-9378
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
172
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
120-1
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pubmed:dateRevised |
2004-11-17
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pubmed:otherAbstract |
PIP: Approximately 3000 Norplant insertions have been performed to date at the Grady Health System in Atlanta, Georgia (US). In a 12-month study of a subset of women who terminated this method, 10.1% cited pain at the site of insertion as the major reason for contraception discontinuation. Given the proximity of major nerves and veins to the implant site, some of this pain may result from neurovascular injury associated with Norplant insertion. In fact, a disproportionate number of women with arm pain had the implants inserted immediately over the brachial groove. The Wyeth-Ayerst manufacturer's brochure suggests only that the implants be inserted on the inner aspect of the upper arm 8-10 cm above the elbow crease. Insertion of the implants deeply over the brachial groove introduces potential for trauma to the ulnar and median nerves, the basilic vein, and the brachial artery. This risk is increased when the trocar is advanced forcibly during insertion of the implants and when the tissue around the implants is dissected during the removal of deeply placed implants in the brachial groove. Recommended, to reduce the risk of significant injury, is insertion of the implants over the medial surface of the biceps brachii.
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pubmed:meshHeading |
pubmed-meshheading:7847517-Arm,
pubmed-meshheading:7847517-Blood Vessels,
pubmed-meshheading:7847517-Drug Implants,
pubmed-meshheading:7847517-Female,
pubmed-meshheading:7847517-Humans,
pubmed-meshheading:7847517-Intraoperative Complications,
pubmed-meshheading:7847517-Levonorgestrel,
pubmed-meshheading:7847517-Nervous System,
pubmed-meshheading:7847517-Reoperation,
pubmed-meshheading:7847517-Trauma, Nervous System,
pubmed-meshheading:7847517-Wounds and Injuries
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pubmed:year |
1995
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pubmed:articleTitle |
Neurovascular injury during removal of levonorgestrel implants.
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pubmed:affiliation |
Department of Ambulatory Obstetrics and Gynecology, Morehouse School of Medicine, Atlanta, GA 30303.
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pubmed:publicationType |
Journal Article
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