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PORT-A-CATH REMOVAL

PREPARING FOR A

PORT-A-CATH REMOVAL

 

After completing numerous rounds of chemotherapy, port becoming infected, and/or any complications arising as it pertains to the port; port-a-cath removal or replacement would be suggested. A small incision is made in the chest and the small access device (port) and catheter line threaded under the skin will be removed. This procedure is also done under local anesthetic. 

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STEPS TO BOOKING:

  1. Obtain a referral form from your physician

  2. Book an appointment with our office

  3. If you are using insurance (Present insurance Card)

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MEET THE ANESTHESIOLOGIST

  • Consultation booking

  • Laboratory and Imaging test completed

  • Preoperative questionnaire

   

THE DAY BEFORE YOUR PROCEDURE:

  • Fast 12 hours before surgery

  • No fasting is required (local anesthetic)

  • Remember to leave all valuables at home (jewelry, money etc.)

  • Refrain from smoking and use of alcoholic beverages

  • Shower the morning of the procedure

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SURGERY TIMELINE:

  • Patient assessment about 45 minutes after check in

  • Anesthesia takes about 15 minutes

  • Surgery takes 15 minutes and/or 30 minutes (local anesthetic)

  • Recovery requires 45 minutes to 1 hour

  • Upon clearance by the doctor the patient is released.

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RESULTS TIMELINE:​

  • Post operative guidelines given

  • Follow-up care

 

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I'm ready to begin...

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ADDITIONAL INFORMATION

BENEFITS: 

  • May be physically unappealing or no longer functional

  • May prevent the vein the catheter is threaded into from becoming stiffen

POTENTIAL COMPLICATIONS & RISK:

  • Infection 

  • Bleeding 

  • Retention of catheter parts requiring additional procedures to complete the removal

  • clots in the veins

  • reaction to the medications including over-sedation

  • other rare complications are also possible

  • Although the risks and complications may occur only very rarely they do sometimes occur and cannot be predicted or prevented by the physician

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POSTOPERATIVE CARE GUIDELINES:

 

Wound care

  • Do not remove the dressing, steri-strips or stitches, until seen by the doctor 

  • If the bandage fall off do not replace them. Call the Doctor

  • Keep dressing dry

       

Activity​​

  • Rest quietly for the remainder of the day

  • No heavy lifting (over 10 lbs) or strenuous activity for 3 weeks

  • If you were given sedation or pain medication: do not drive, operate heavy equipment/machinery, or make any important decisions for 24 hours

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Diet ​

  • You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, toast and  yogurt

  • Drink plenty of fluids (unless your doctor tells you not to)

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When to contact Us 

  • Difficulty breathing

  • Excessive bright red blood draining from the procedure site

  • Redness, tenderness, swelling or drainage from the procedure site

  • Chills or temperature above 101 degrees

  • Anytime you think you need emergency care

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