Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
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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Revista do Colégio Brasileiro de Cirurgiões |
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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 |
eu_rights_str_mv |
openAccess |
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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1754209215526731776 |