title: Management and prevention of complications of subcutaneous intravenous infusion port.
abstract: Subcutaneous intravenous infusion port (SIIP) has become an increasingly and widely adopted technique in the management of oncology patients. This route has been used not only for chemotherapy but also for parenteral nutrition provision, blood transfusion, medication administration, blood sample collection, hemodialysis, and so on. This system provides a safe vascular access with low complication rate which helps preventing patients from vascular infection and catheter associated thrombosis. In this study, we reviewed 1247 cases of breast cancer patients that had subcutaneous intravenous infusion port implanted for chemotherapy in our general surgery department from 1990 to 2008. The result indicates that complication decreases as our technique and experience mature. We hereby share our accrued experience and improved technique, hoping to be of help to young surgeons.
authors.affiliation: Division of Breast Surgery, Division of General Surgery, Department of Surgery, Cardinal-Tein Hospital, Xindien, Taipei, Taiwan 23137, ROC.
authors.forename: Hsiang-Chun
authors.initials: HC
authors.lastname: Jan
authors.forename: Shao-Jiun
authors.initials: SJ
authors.lastname: Chou
authors.forename: Tzu-Hung
authors.initials: TH
authors.lastname: Chen
authors.forename: Chuin-I
authors.initials: CI
authors.lastname: Lee
authors.forename: Tze-Kai
authors.initials: TK
authors.lastname: Chen
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Lou
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000970:Antineoplastic Agents / Q000008:administration & dosage; D001367:Axillary Vein / Q000601:surgery; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000601:surgery; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004866:Equipment Contamination / Q000517:prevention & control; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D013530:Surgical Wound Infection / Q000517:prevention & control; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D000970:Antineoplastic Agents