{"id":74629675,"date":"2026-07-10T10:27:11","date_gmt":"2026-07-10T08:27:11","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=74629675"},"modified":"2026-07-10T12:01:57","modified_gmt":"2026-07-10T10:01:57","slug":"retrait-dimplant-contraceptif-non-palpable-une-alternative-moins-invasive","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/retrait-dimplant-contraceptif-non-palpable-une-alternative-moins-invasive\/","title":{"rendered":"Retrait d\u2019implant contraceptif non palpable\u00a0: une alternative moins invasive"},"content":{"rendered":"\n

L\u2019implant contraceptif est une m\u00e9thode de contraception efficace et fr\u00e9quemment utilis\u00e9e, offrant une dur\u00e9e d\u2019action maximale de trois ans. Cependant, un retrait anticip\u00e9 devient n\u00e9cessaire dans plusieurs cas pr\u00e9cis : un projet de grossesse, l’apparition d’effets secondaires ou l’impossibilit\u00e9 de localiser le b\u00e2tonnet \u00e0 la palpation. Lorsqu’un implant n’est plus palpable, il ne peut plus \u00eatre surveill\u00e9 cliniquement, les m\u00e9decins pr\u00e9f\u00e8rent donc l’enlever. Le risque, bien que rare, est de le voir se d\u00e9placer. M\u00eame s’il a \u00e9t\u00e9 parfaitement ins\u00e9r\u00e9, l’implant peut glisser et s’enfoncer petit \u00e0 petit dans les tissus profonds.<\/p>\n\n\n\n

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Au CHU de Poitiers, le retrait des implants non palpables, habituellement r\u00e9alis\u00e9 par les gyn\u00e9cologues repose sur une chirurgie r\u00e9alis\u00e9e sous anesth\u00e9sie g\u00e9n\u00e9rale. Ils sollicitent l\u2019aide des radiologues pour rep\u00e9rer l\u2019implant. Gr\u00e2ce \u00e0 l\u2019imagerie, ceux-ci localisent l\u2019implant et l\u2019indiquent par une petite croix au feutre sur la peau, mais une fois au bloc, les chirurgiens sont parfois oblig\u00e9s d\u2019ouvrir plus largement pour le trouver. Un travail \u00e0 l’aveugle complexe pour les \u00e9quipes et plus impactant pour les patientes, qui gardent des cicatrices.<\/p>\n\n\n\n

L’alternative interventionnelle se r\u00e9v\u00e8le moins invasive, plus facile et rapide. Tout se d\u00e9roule en salle d’\u00e9chographie, sous simple anesth\u00e9sie locale. Le Dr Dubo\u00e9 localise pr\u00e9cis\u00e9ment le b\u00e2tonnet de 4 centim\u00e8tres \u00e0 l’\u00e9cran, d\u00e9sinfecte la zone et r\u00e9alise une micro-incision par laquelle il introduit une pince de Hartmann, plus commun\u00e9ment appel\u00e9e \u00ab pince alligator \u00bb en raison de son extr\u00e9mit\u00e9 fine qui s’ouvre comme la m\u00e2choire du reptile pour attraper fermement l\u2019implant. La proc\u00e9dure dure pr\u00e8s de cinq minutes mais peut prendre jusqu\u2019\u00e0 40 minutes lorsque l\u2019implant a migr\u00e9 dans le muscle.  Aucun point de suture n’est n\u00e9cessaire.<\/p>\n

 <\/p>\n<\/div>\n\n\n\n

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\"\"<\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n
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Le Dr Pier-Olivier Dubo\u00e9 proc\u00e8de \u00e0 15 \u00e0 20 retraits d’implants impalpables par an. \u00ab La proc\u00e9dure est vraiment efficace. Il n\u2019y a eu que trois cas o\u00f9 je ne suis pas parvenu \u00e0 retirer l\u2019implant en radiologie interventionnelle<\/em> \u00bb.<\/p>\n\n\n\n

Malgr\u00e9 une activit\u00e9 d\u00e9j\u00e0 importante, le Dr Pier-Olivier Dubo\u00e9 s\u2019est mobilis\u00e9 pour pouvoir proposer cette nouvelle proc\u00e9dure. Il a fait le choix de positionner des cr\u00e9neaux une fois par semaine entre midi et 14h.<\/p>\n\n\n\n

\u00ab La technique m\u2019a imm\u00e9diatement sembl\u00e9 d\u2019une grande pertinence et le b\u00e9n\u00e9fice pour les femmes, \u00e9vident<\/em> \u00bb, confie le radiologue. \u00ab Si l\u2019on peut leur \u00e9viter le traumatisme d’une lourde cicatrice ou d’une anesth\u00e9sie g\u00e9n\u00e9rale gr\u00e2ce \u00e0 un geste qui, pour nous, rel\u00e8ve de nos comp\u00e9tences quotidiennes, le service rendu est immense. C\u2019est cette accessibilit\u00e9, ce caract\u00e8re ambulatoire et surtout le c\u00f4t\u00e9 tr\u00e8s mini-invasif qui m\u2019ont donn\u00e9 envie de relever le d\u00e9fi<\/em>. \u00bb<\/p>\n

\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

Lorsqu’un implant contraceptif migre ou devient impalpable, son retrait chirurgical classique peut s’av\u00e9rer lourd et stressant. Depuis\u2026","protected":false},"author":12,"featured_media":74629691,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-74629675","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"\nRetrait d\u2019implant contraceptif non palpable\u00a0: une alternative moins invasive - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/retrait-dimplant-contraceptif-non-palpable-une-alternative-moins-invasive\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Retrait d\u2019implant contraceptif non palpable\u00a0: une alternative moins invasive - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Lorsqu'un implant contraceptif migre ou devient impalpable, son retrait chirurgical classique peut s'av\u00e9rer lourd et stressant. 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