Discussing Cancer Ports

Let’s talk about Ports….. 

When you are diagnosed with cancer the physicians often recommend chemotherapy as part of the treatment plan. In many cases, they will also advise the placement of a port to facilitate medication delivery. Chemotherapy agents are typically too caustic for peripheral veins, necessitating the use of a port to ensure safe and effective administration.

What is a port?  

A port, also known as a port-a-cath or implantable venous access device, is a small medical appliance that is placed under the skin, usually in the chest area. It is connected to a vein with a thin, flexible tube called a catheter. The port provides direct access to the bloodstream, allowing healthcare providers to easily administer chemotherapy, draw blood, or deliver other medications with minimal discomfort to the patient. 

What is the procedure to have a port placed? 

The procedure to place a port is typically performed by a surgeon or interventional radiologist in a hospital or outpatient setting. Before the procedure, the patient will usually receive local anesthesia to numb the area and sometimes light sedation to help them relax. The doctor makes a small incision, usually near the collarbone, and creates a pocket under the skin to hold the port. A thin catheter is then threaded from the port into a large vein, often the jugular or subclavian vein, and guided into place using imaging techniques such as ultrasound or X-ray.

Once the port and catheter are securely positioned, the incisions are closed with stitches or surgical glue, and a bandage is applied. The entire process generally takes about 30 to 60 minutes, and most patients can go home the same day. Some mild soreness or bruising at the incision site is normal, but recovery is usually quick, allowing chemotherapy or other treatments to begin soon after placement.

The procedure was not a long procedure. For myself, it seemed to be done quickly. I was sedated. I felt like getting to the hospital, getting ready for the procedure took longer than the actual procedure itself. I was groggy when I woke up, eventually that did clear up. I went home the same day and was able to eat and continue my day. As always though, follow the Doctor’s instructions on the care for your port. 

Does a port interfere in daily activities? 

A port does not interfere with most daily activities. Individuals can continue to shower, swim, and engage in routine tasks while using a port. Ports are designed to integrate into daily life without significant disruption.

The medical team is available to provide guidance and answer any inquiries about the process. Patients are encouraged to communicate openly with their healthcare professionals and seek clarification whenever needed.

I hope the following information has been helpful. Just remember that when you are feeling scared, anxious, or nervous, reach out to your support person or your medical team. Let them know how you are feeling. Sometimes it’s good to let go of these feelings.