How is the implantable port put in?
A doctor called a radiologist or a specialist nurse will put your port in at the hospital. It is usually done in the operating theatre, or an area called the vascular radiology unit. You will usually have a local anaesthetic to numb the area. A general anaesthetic is sometimes used.
You will usually be able to go home on the same day. You may want to discuss the position of the port with your doctor before it is put in.
How the port is put in
The doctor or nurse will put a small needle into a vein in the arm or hand. They will give you medicine to help you relax. Your nurse or doctor will then inject a local anaesthetic into your skin to numb a few small areas on your chest and neck. You might feel some pressure on your chest or arm during the procedure, but you should not feel any pain.
The doctor or nurse will make 2 small cuts in the skin. These cuts may be called incisions. The first is made to create a pocket under the skin for the port. It will be about 3 to 4cm long. There will be a smaller incision above this. This is where they will put the catheter into the vein. This incision is usually less than 2cm long.
If the port is being put into a vein in the chest, the incisions are made on the upper chest. If the port is being put into a vein in the arm, they will be on the inner side of the arm.
The doctor or nurse will put the port under the skin. They then tunnel the catheter attached to the port under the skin to the smaller incision. Here, it will be put into a vein in the chest. They will then stitch up the incisions. You will have a chest x-ray to make sure the port is in the right place.
After the port is put in
You may have a small dressing to cover the wounds for a few days. The nurses will teach you how to look after it. Sometimes a skin glue is used instead.
You may feel a bit sore and bruised for a few days after the port is put in. You can ask your doctor or nurse which painkillers you should take to help with this.
Once the port has been put in, and for a few days after, check around the wounds for any:
- redness
- swelling
- bleeding
- bruising
- pain
- heat.
Tell your hospital doctor straight away if you have any of these. You could have an infection which may need to be treated.
If the stitches are not dissolvable, they will be removed after about 7 to 10 days.