Introduction

Outcome of pediatric cancer is improving steadily. This is largely attributed to aggressive chemotherapy regimens. Drug delivery requires frequent venous access, which may be difficult. Implantable devices like chemoports are child friendly and significantly improve quality of life.

Advantages

Chemoport is a device that acts as the intravenous line used to administer injections with the following benefits:

  • It prevents complications of skin ulceration and abscess formations due to leakage of chemotherapy drugs.
  • It can be used to draw blood samples.
  • Blood transfusions, IV fluids and other medications can be given through the chemoport.
  • It is placed through a small incision under the collar bone. The scar is hidden under the clothing at all times.
  • It can function for more than 3 years.
  • It is not visible from the outside.
  • It improves the quality of life of the child and the parents; and prevents unnecessary delays in the therapy.
  • It safeguards all the peripheral veins from damage by the chemotherapy drugs.
  • The child is free from the discomfort of the intravenous (IV) canula in his/or her hand or forearm and can
  • uninhibitedly carry out his daily acrobatics.
  • It is less painful to access the chemoport than the peripheral vein.

Process of Insertion

Chemoport

SECOND STEP

THIRD STEP

FOURTH STEP
FIFTH CIRCLE
SIXTH CIRCLE
SIXTH STEP

FIRST STEP

Chemoport

SECOND STEP

Various types of subcutaneous ports; CT and MRI compatible.

THIRD STEP

The location of the subcutaneous access point under the collar bone (clavicle).

FOURTH STEP

The inner limb stops short of the heart.

FIFTH STEP

Access the port under strict aseptic conditions with a non coring needle.

SIXTH STEP

Palpating the subcutaneous part, holding it in the index finger and the thumb and then injecting the medication through it.

SEVENTH STEP

After completion of treatment the chemoport is removed through the previous scar. The scar is hardly visible from a distance.

CARE OF THE PORT

  • After the removal of sutures the child can bathe normally.
  • Good personal hygiene has to be maintained.
  • Access of the port has to be made by a trained medical professional maintaining strict asepsis.
  • The child can follow his or her normal daily routine.
  • Care for the child, the port will take care of itself.
  • The chemoport can be kept for as long as required or 3 years.
  • The port can be removed at the end of therapy under local anaesthesia/ General Anaesthesia

Complications

  • Infection: Low risk if accessed by a trained medical professional. Can be managed with antibiotics.Removal of the port is usually not required.
  • Malpositioning: The subcutaneous portion can get dislodged from its pocket and make the access difficult.
  • Occlusion: Avoided if placed properly by a trained medical professional.
  • Extrusion: Very rare complication occurring if the subcutaneous portion of the port erodes through to the skin in severely debilitated patients.
  • Fracture of port while removal. A rare complication.

 

Cost

CHEMOPORT PACKAGE: Rs 28, 000 - 42, 000/-

(inclusive of one day admission, surgical fee and the chemoport charges)