[Total implantable venous systems in day surgery].

Area of Science:

• Surgical Oncology
• Vascular Access Devices
• Outpatient Surgery

Background:

• Total implantable venous systems, commonly known as port-a-cath devices, are crucial for long-term venous access.
• Managing these devices in an outpatient setting can enhance patient convenience and reduce healthcare costs.

Purpose of the Study:

• To evaluate the feasibility and safety of implanting total implantable venous systems (port-a-cath) within a day surgery framework.
• To assess patient outcomes and complication rates associated with day surgery port-a-cath implantation.

Main Methods:

• A retrospective analysis of 31 port-a-cath implantations performed between January 2000 and March 2003.
• Procedures were conducted favoring subclavian vein access, with all patients managed in a day surgery setting.
• Post-implantation follow-up included immediate X-ray confirmation and a mean follow-up of two hours.

Main Results:

• No early complications were reported.
• Three late complications occurred: device malfunction, reservoir kinking, and subcutaneous pocket infection, necessitating explantation in two cases.
• Strategies to mitigate complications include using pediatric kits for difficult catheterizations, strict aseptic techniques, short-term antibiotic prophylaxis, and specific device placement recommendations.

Conclusions:

• Total implantable venous system (port-a-cath) implantation is largely feasible in day surgery.
• This approach enhances patient compliance and represents a cost-effective medical procedure.