The physician’s recommendation for you to have a port is made when there is a frequent need to administer medication via a central vein, or when there is difficulty for doctors or nurses to access your veins for blood draws or lab checks.
It’s common to have a case of nervousness before an unknown event, and medical procedures are no different. At our office, one of our interventional radiologists takes care of the procedure from start to finish, after working with your physician to decide on type of port is best for your particular case. We are there to answer questions or concerns before or after the procedure.
Often, mentally preparing for a procedure is as simple as knowing what to expect.
Typically, when a port is put in, a patient is put under conscious sedation, which is a combination of pain medication and a tranquilizer. This combination is designed to relax you and reduce pain, but not put you complete under. It is not the same as general anesthesia. We want you to be comfortable, yet able to breath on your own and speak to the physician if needed.
The physician will make a small incision above your collarbone, and another under your collarbone. A tunnel is formed under the skin between the two openings. The catheter is passed through this tunnel and then gently threaded into the vein. The physician then makes a pocket under the skin, places the port in the pocket, and then sutures the pocket closed.
Afterwards, you may be a little sore, but the pain should be minimal. Your physician will give you detailed care instructions including any movement restrictions, medication instructions and information on how to clean the area.
Sources: VCU Health at Baird Vascular Institute, Memorial Sloan Kettering Cancer Center