Port Removal
Preop Diagnosis -
Postop Diagnosis - Same
Surgeon - Dr. Luk / Dr. Tran
Assistant Surgeon -
Anesthesia - local mac
Estimated Blood Loss - Minimal
Complication - none
Findings - port
Specimen - port
Procedure performed - removal of port
INDICATIONS
This patient has previous need for a port for long-term IV access. The patient has now completed, the need and would like to have this removed.
Patient comes in with the above diagnosis and was consented for the above procedures. Risks, benefits, and alternatives were discussed with patient, which includes, but are not limited to, postoperative or chronic pain, bleeding, wound infection, hematoma,, or need for further procedures or workup. Other Complications may include deep vein thrombosis (blood clots), as well as other side effects affecting other organ systems such as the heart or lungs, and in rare circumstances, death as a result of the above complications. The patient understands and agrees to proceed with the proposed procedure.
The Patient was given preoperative antibiotics.
After consent was obtained, the patient was brought to the OR and underwent local anesthesia. The patient was prep and draped in the standard manner.
Local, local anesthetic which is a combination of lidocaine and Marcaine was used to perform field block.
A #15 scalpel was used to make a skin incision on top of the old incision above the port. Dissection down to the port was performed using electrocautery. The two anchoring stitches were removed using Metzenbaum scissors. At this point the port was free and it was then slid out along with the catheter in whole and intact. The wound was then irrigated. The 3-0 Vicryl suture was used to perform hemostasis and the wound was closed using absorbable stitch.
The patient overall tolerated the procedure well, transferred to recovery room in stable and satisfactory condition.