65 e-Letters

  • Implanon removal technique
    Ken Menon

    I read with interest the letter by Dr Kandiyil on a method for removal of Implanon® in the July 2012 edition of this Journal [1]. The method describes stabilising the implant prior to its removal.

    Inserting a needle is an unnecessary trauma and carries the risk of damage to structures in the arm, especially in thin persons.

    I find it easier and less traumatic to remove an implant, as far as possible, t...

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  • Training for nurses working in SRH
    Stuart Beddard

    I read the article[1] by Mehigan and Burnett in the July 2012 issue of this Journal about training for nurses working in the field of sexual and reproductive health (SRH) with interest.

    This is certainly a challenge faced by many, and one which we are trying to work on in Solihull at the moment. We have a significant number of nurses who are shining stars in the world of SRH and are waiting for funding to atten...

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  • Innovative training for nurses in SRH
    Susan Hunt

    We read with great interest the article[1] by Mehigan and Burnett in the July 2012 issue of this Journal about training for post-graduation nurses in this particular field of specialism and agree wholeheartedly with the authors about the deplorable lack of standardised training in the UK. It is important to equip nurses with knowledge and skills to provide competency in the delivery of safe and effective methods of contra...

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  • Nurse accreditation: a better way of working
    Adrienne Swarbrick

    Well done Berkshire. I completely agree with Mehigan and Burnett[1] - it is essential that some standardisation is needed in the training of nurses in SRH across the UK and it is preferable that this should be accredited by the FSRH. There is also the valuable point that there is a belief that accreditation can only be achieved through academic institutes and the RCN! This is usually at significant cost for the course, time...

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  • Implant removal technique
    Julia Shefras


    The two letters describing individuals' different techniques for implant removal are timely [1,2]. 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 will lead to fewer difficult removals. It is evident from th...

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