Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service

Detalhes bibliográficos
Autor(a) principal: CARDOSO,ANNA MARIA GARCIA
Data de Publicação: 2022
Outros Autores: WENGROVER,FERNANDA SANTOS, WÜRZIUS,ALINE, PIETA,MARINA PUERARI, CARLI,RAFFAELA NASCIMENTO DE, DA-CUNHA,CARLOS EDUARDO BASTIAN, BREIGEIRON,RICARDO
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100600
Resumo: ABSTRACT Objective: to demonstrate that the use of the portocath implantation technique without tunneling the catheter is not associated with a higher rate of complications in the short or long term. In addition, we aim to improve the implantation technique of the portocath device, with the presentation of a step-by-step guide for surgeons in training. Methods: this is a retrospective descriptive study, with analytical components. Data were analyzed using information extracted from electronic medical records linked to the National Health Care procedure code between the years 2019-2020. Results: none of the 94 procedures resulted in complications on the day they were performed. Complications were recorded seven days after the procedure in only two patients (2.13%). Intraoperative radioscopy had been performed in both cases. Thirty days afters the procedure, complications were observed in two patients among the remaining 92 (2.17%), both undergoing catheter implantation without tunneling. There were no complications in the six months after portocath implantation in 57.4% of patients and there is no information about the other 42.6%. Conclusion: the portocath insertion technique without tunneling is a safe outpatient procedure, with a low risk of complications, and can be adopted to shorten procedure time and patient discomfort, without functional or safety impairments. There was no association of not tunneling the catheter, laterality of the punctured vein and performing radioscopy in the transoperative period with the rate of complications.
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spelling Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity serviceGeneral SurgeryMedical OncologySurgical OncologyCathetersVascular Access DevicesABSTRACT Objective: to demonstrate that the use of the portocath implantation technique without tunneling the catheter is not associated with a higher rate of complications in the short or long term. In addition, we aim to improve the implantation technique of the portocath device, with the presentation of a step-by-step guide for surgeons in training. Methods: this is a retrospective descriptive study, with analytical components. Data were analyzed using information extracted from electronic medical records linked to the National Health Care procedure code between the years 2019-2020. Results: none of the 94 procedures resulted in complications on the day they were performed. Complications were recorded seven days after the procedure in only two patients (2.13%). Intraoperative radioscopy had been performed in both cases. Thirty days afters the procedure, complications were observed in two patients among the remaining 92 (2.17%), both undergoing catheter implantation without tunneling. There were no complications in the six months after portocath implantation in 57.4% of patients and there is no information about the other 42.6%. Conclusion: the portocath insertion technique without tunneling is a safe outpatient procedure, with a low risk of complications, and can be adopted to shorten procedure time and patient discomfort, without functional or safety impairments. There was no association of not tunneling the catheter, laterality of the punctured vein and performing radioscopy in the transoperative period with the rate of complications.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100600Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223167info:eu-repo/semantics/openAccessCARDOSO,ANNA MARIA GARCIAWENGROVER,FERNANDA SANTOSWÜRZIUS,ALINEPIETA,MARINA PUERARICARLI,RAFFAELA NASCIMENTO DEDA-CUNHA,CARLOS EDUARDO BASTIANBREIGEIRON,RICARDOeng2022-03-17T00:00:00Zoai:scielo:S0100-69912022000100600Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-03-17T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
title Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
spellingShingle Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
CARDOSO,ANNA MARIA GARCIA
General Surgery
Medical Oncology
Surgical Oncology
Catheters
Vascular Access Devices
title_short Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
title_full Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
title_fullStr Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
title_full_unstemmed Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
title_sort Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
author CARDOSO,ANNA MARIA GARCIA
author_facet CARDOSO,ANNA MARIA GARCIA
WENGROVER,FERNANDA SANTOS
WÜRZIUS,ALINE
PIETA,MARINA PUERARI
CARLI,RAFFAELA NASCIMENTO DE
DA-CUNHA,CARLOS EDUARDO BASTIAN
BREIGEIRON,RICARDO
author_role author
author2 WENGROVER,FERNANDA SANTOS
WÜRZIUS,ALINE
PIETA,MARINA PUERARI
CARLI,RAFFAELA NASCIMENTO DE
DA-CUNHA,CARLOS EDUARDO BASTIAN
BREIGEIRON,RICARDO
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv CARDOSO,ANNA MARIA GARCIA
WENGROVER,FERNANDA SANTOS
WÜRZIUS,ALINE
PIETA,MARINA PUERARI
CARLI,RAFFAELA NASCIMENTO DE
DA-CUNHA,CARLOS EDUARDO BASTIAN
BREIGEIRON,RICARDO
dc.subject.por.fl_str_mv General Surgery
Medical Oncology
Surgical Oncology
Catheters
Vascular Access Devices
topic General Surgery
Medical Oncology
Surgical Oncology
Catheters
Vascular Access Devices
description ABSTRACT Objective: to demonstrate that the use of the portocath implantation technique without tunneling the catheter is not associated with a higher rate of complications in the short or long term. In addition, we aim to improve the implantation technique of the portocath device, with the presentation of a step-by-step guide for surgeons in training. Methods: this is a retrospective descriptive study, with analytical components. Data were analyzed using information extracted from electronic medical records linked to the National Health Care procedure code between the years 2019-2020. Results: none of the 94 procedures resulted in complications on the day they were performed. Complications were recorded seven days after the procedure in only two patients (2.13%). Intraoperative radioscopy had been performed in both cases. Thirty days afters the procedure, complications were observed in two patients among the remaining 92 (2.17%), both undergoing catheter implantation without tunneling. There were no complications in the six months after portocath implantation in 57.4% of patients and there is no information about the other 42.6%. Conclusion: the portocath insertion technique without tunneling is a safe outpatient procedure, with a low risk of complications, and can be adopted to shorten procedure time and patient discomfort, without functional or safety impairments. There was no association of not tunneling the catheter, laterality of the punctured vein and performing radioscopy in the transoperative period with the rate of complications.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100600
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100600
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0100-6991e-20223167
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.49 2022
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
instacron:CBC
instname_str Colégio Brasileiro de Cirurgiões (CBC)
instacron_str CBC
institution CBC
reponame_str Revista do Colégio Brasileiro de Cirurgiões
collection Revista do Colégio Brasileiro de Cirurgiões
repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
repository.mail.fl_str_mv ||revistacbc@cbc.org.br
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