curious...port in knocked out...port out local?

cavediver
cavediver Member Posts: 607
edited March 2014 in Breast Cancer #1
Just curious.... to have the port inserted we go to hospital, have anastesia, and spend hours in recovery. Then to remove it...it is done in doctor's office under a local??? What's up with that? The thought of them cutting it open and removing while I am awake scares me more than facing chemo and rads. Why such a big deal to insert, and minor to remove?

Comments

  • Snowkitty
    Snowkitty Member Posts: 295
    Probably because they have
    Probably because they have to be really diligent when placing, making sure it's in the artery. When coming out...oh well. But would be curious to hear about when it comes out.

    Cindy
  • calvertcrafts
    calvertcrafts Member Posts: 93 Member
    Snowkitty said:

    Probably because they have
    Probably because they have to be really diligent when placing, making sure it's in the artery. When coming out...oh well. But would be curious to hear about when it comes out.

    Cindy

    port removal
    I had my port removed 3 weeks ago in the hospital under anesthesia. It took about 30 min and I was coming to when I arrived in recovery. I had very little pain and left the hospital after 1 hr. All told, it took 21/2 hrs from beginning to end. It was the easiest procedure of all I have endured.
  • cavediver
    cavediver Member Posts: 607

    port removal
    I had my port removed 3 weeks ago in the hospital under anesthesia. It took about 30 min and I was coming to when I arrived in recovery. I had very little pain and left the hospital after 1 hr. All told, it took 21/2 hrs from beginning to end. It was the easiest procedure of all I have endured.

    interesting...
    my surgeon insisted when I asked that 'everyone' has it removed under local in his office....when I told him that scared me..being awake and all (I am a chicken at this) he told me NO One has it done in hospital, but if I insisted he would do it there.... it will be a while for my removal....I still have 2 more chemo cycles and then rads to get through...just was curious and thinking ahead
  • cavediver
    cavediver Member Posts: 607

    port removal
    I had my port removed 3 weeks ago in the hospital under anesthesia. It took about 30 min and I was coming to when I arrived in recovery. I had very little pain and left the hospital after 1 hr. All told, it took 21/2 hrs from beginning to end. It was the easiest procedure of all I have endured.

    interesting...
    my surgeon insisted when I asked that 'everyone' has it removed under local in his office....when I told him that scared me..being awake and all (I am a chicken at this) he told me NO One has it done in hospital, but if I insisted he would do it there.... it will be a while for my removal....I still have 2 more chemo cycles and then rads to get through...just was curious and thinking ahead
  • Skeezie
    Skeezie Member Posts: 586 Member
    cavediver said:

    interesting...
    my surgeon insisted when I asked that 'everyone' has it removed under local in his office....when I told him that scared me..being awake and all (I am a chicken at this) he told me NO One has it done in hospital, but if I insisted he would do it there.... it will be a while for my removal....I still have 2 more chemo cycles and then rads to get through...just was curious and thinking ahead

    Tell your surgeon he is wrong!
    Remember I am a wimp and don't do local's in offices. It's your body, your say. But my surgeon wouldn't dream of doing that under local in his office. I had gen'l for my wide re-exisional biopsy and Sentinel Node Biopsy and further the hospital gave me a trunk block prior to surgery in the event they would have to take out a lot of nodes and there were drains etc. I was lucky and my nodes were clear but I was prepared.

    I don't do locals for the dentist either, IV sedation for all procedures and nitrous for cleanings.

    It's your body, you must be your own advocate.

    Are you ready for your port to come out?
  • dyaneb123
    dyaneb123 Member Posts: 950
    cavediver said:

    interesting...
    my surgeon insisted when I asked that 'everyone' has it removed under local in his office....when I told him that scared me..being awake and all (I am a chicken at this) he told me NO One has it done in hospital, but if I insisted he would do it there.... it will be a while for my removal....I still have 2 more chemo cycles and then rads to get through...just was curious and thinking ahead

    I had mine out when I had my
    I had mine out when I had my implants put in so I was out.
  • chenheart
    chenheart Member Posts: 5,159
    cavediver said:

    interesting...
    my surgeon insisted when I asked that 'everyone' has it removed under local in his office....when I told him that scared me..being awake and all (I am a chicken at this) he told me NO One has it done in hospital, but if I insisted he would do it there.... it will be a while for my removal....I still have 2 more chemo cycles and then rads to get through...just was curious and thinking ahead

    I had mine put in while
    I had mine put in while sedated in the surgery center, but removed locally and in the surgeon office. It isn't anything like the surgery to put the port in~ the area is numbed, and as I said in another post some months ago, it didn't hurt AT ALL to have it taken out. There is a tug~which actually felt similar to the tug when we remove a tampon! It took a few minutes, and that was it! I had a small cyst on my back, which I had had for years, and cosmetically it bothered me...I was able to have the cyst removed AND the port taken out on the same visit. I am not particularly brave, but I trusted my surgeon, and it was, for me anyway, nothing!
    Hope this helps!

    Hugs,
    Chen♥
  • creampuff91344
    creampuff91344 Member Posts: 988
    chenheart said:

    I had mine put in while
    I had mine put in while sedated in the surgery center, but removed locally and in the surgeon office. It isn't anything like the surgery to put the port in~ the area is numbed, and as I said in another post some months ago, it didn't hurt AT ALL to have it taken out. There is a tug~which actually felt similar to the tug when we remove a tampon! It took a few minutes, and that was it! I had a small cyst on my back, which I had had for years, and cosmetically it bothered me...I was able to have the cyst removed AND the port taken out on the same visit. I am not particularly brave, but I trusted my surgeon, and it was, for me anyway, nothing!
    Hope this helps!

    Hugs,
    Chen♥

    Port Removal
    I was the same as Chen. Port insertion was done under anesthesia, but when it was taken out, I decided it best to do it with a local. Personally, I had had enough of being knocked out, and recovery from anesthesia, so I asked if it could be done with numbing the area, and removing with me awake. My surgeon was very good, explaining every step of the procedure, telling me what I was about to feel, etc. There were five stitches, and I didn't feel them being inserted. There was no pain, and I was in and out in about thirty minutes. I didn't even feel the tube being pulled out of the artery. It was easy, but certainly something you have to be comfortable with. I recommend doing it with a local, but not for everyone. (My husband came in the room while they took out the port, and HE was the one that got sick to his stomach....guess there is something to be said about becoming "one with your partner". Good luck. Judy
  • Rague
    Rague Member Posts: 3,653 Member
    Haven't had mine out yet.
    I haven't had my port out yet - don't know when/IF it comes out. It was to be left for at least a year 'just in case' - Aug. 25th will be ayear since it was implanted but Jan 28th will be a year since last Chemo. I see Chemo Dr on Aug 30 but I'm betting he's going to be happy for me to keep it longer which I have no problem with.

    I was 'knocked out for port to be put in but I woke up in the surgery as they were getting ready to take me to recover. Suprised them. It takes a lot to keep me knocked out - when I had some major dental surgery years ago I woke up 3 times while they were working on me LOL. Hubby had been there while port was put in and when they were done they told him that it'd be a couple of hours before he could take me home. So he left and went to feed the horses (I knew he was going to). Well, because I had woke up in surgery, I was taken straight to the get dressed, eat (had to eat a muffin) and leave area. He had just gotten to the barn when they called him to come get me.

    As I said I don't know (never asked) how my port will be removed but there is a big difference between putting something in and taking it out. Drains are put in in surgery but they are pulled out in the office (at least for me).

    I'm know I'm weird but I'd kind of liked to have seen it put in so I'd know what all is involved.

    SS = Strange Susan
  • cavediver
    cavediver Member Posts: 607
    Skeezie said:

    Tell your surgeon he is wrong!
    Remember I am a wimp and don't do local's in offices. It's your body, your say. But my surgeon wouldn't dream of doing that under local in his office. I had gen'l for my wide re-exisional biopsy and Sentinel Node Biopsy and further the hospital gave me a trunk block prior to surgery in the event they would have to take out a lot of nodes and there were drains etc. I was lucky and my nodes were clear but I was prepared.

    I don't do locals for the dentist either, IV sedation for all procedures and nitrous for cleanings.

    It's your body, you must be your own advocate.

    Are you ready for your port to come out?

    yep, I am a chicken...don't like blood, never looked at a needle
    Not ready for port removal yet...just was thinking ahead after reading a bit here about in office removals. The drains were removed in office, but I did not feel that. But this port thing....cutting etc in office while I am awake...I asked if he would give me something to 'calm me down' in addition to the the local, and he said no. So, I am thinking when it is time........probably not till December, I will be rediscussing the hospital version of removal. The port insertion was my first opertion ever at 63 and I was scared then on the unknown. When they draw blood, of give novocane at dentis, I have never, ever looked at the needles. At chemo infusion I turn my head when the access the port....so yes, on needles and cutting I am a whimp for sure.
  • cookie97
    cookie97 Member Posts: 200
    Port problems
    I said exactly the same thing when they removed mine in the office. However I had issues with a hematoma and not healing properly ect.. I was never actually able to use that port. Surgeon removed in 5 minutes in his office with novicaine! Yeow that was not pretty. I was told later that he was probably so afraid of infection that he removed mine on the spot. Like you said though, why the sterile envornment to put it in and such a casual attitude to remove?
  • cavediver
    cavediver Member Posts: 607
    something to think about
    Thanks for your comments and experiences. I think I am getting it that it does not hurt on removal with local. I am more concerned about me freaking out just thinking of being cut when I am awake...feeling it or not. I am a chicken on this cutting deal..........but it will be months I am sure....2 more chemos to go, then rads...so probably not until December for removal. Just was thinking ahead....and getting information from my sisters in advance this time. I only found this Board after my surgery!
  • missrenee
    missrenee Member Posts: 2,136 Member
    cavediver said:

    something to think about
    Thanks for your comments and experiences. I think I am getting it that it does not hurt on removal with local. I am more concerned about me freaking out just thinking of being cut when I am awake...feeling it or not. I am a chicken on this cutting deal..........but it will be months I am sure....2 more chemos to go, then rads...so probably not until December for removal. Just was thinking ahead....and getting information from my sisters in advance this time. I only found this Board after my surgery!

    Hi Cavediver--I had my port inserted while having my lumpectomy
    I am now through with chemo and almost done with rads. My surgeon will remove my port after rads--in his office under local. Like another poster said, my surgeon said it is way less complicated taking it out than putting it in and having it done in his office is actually safer--both from an anesthesia standpoint and an infection standpoint (hospitals are noted for developing infections). When he took my drains out, he said I wouldn't feel a thing and I didn't, so I'm expecting the same result from port removal. I'm pretty much a chicken too, but I do have Xanax in case I really get freaky (probably won't take it though).

    Good luck to you.

    Renee
  • Lighthouse_7
    Lighthouse_7 Member Posts: 1,566 Member
    cavediver said:

    interesting...
    my surgeon insisted when I asked that 'everyone' has it removed under local in his office....when I told him that scared me..being awake and all (I am a chicken at this) he told me NO One has it done in hospital, but if I insisted he would do it there.... it will be a while for my removal....I still have 2 more chemo cycles and then rads to get through...just was curious and thinking ahead

    Cavediver
    He's lying to you, I'm sorry, to be so blunt! I am sick of the port issue being taken so lightly. I asked if a breast surgeon could put mine in because I was afraid. The mistake I made was to go locally and not to Boston where i had my surgery. She put it in ( under anesthesia) and when I woke up, I couldn't breathe very good. Well, she put a hole in my lung! A Phenmothorax Can't Spell it! Anyway so upon removal I am scared as heck and went to Boston to have my Thorasic Surgeon remove it ( under anesthesia). But he gave me a lighter dose and I woke up sooner.
    To me this is a very percise procedure and things can go wrong when fishing for the artery! Another thing it is your body and you demand to be put out. My breast surgeon doesn't do ports anymore. Imagine that this part of our cancer journey has to be so stressful.

    I never cared about scars either through all this, but why was my breast surgeon so careful ( as she told me at preop) that she would make a nice half moon scar over my nipple and no one cares about the port scar??
    My breast is beautiful and only my husband sees that. My port scar is awful and every time I wear a v-neck or scoop neck, everyone can see it.
    Sorry for the rant. Do what makes you feel comfortable and demand the care that you want.
    Good luck,
    Wanda
  • GayleMc
    GayleMc Member Posts: 311 Member
    missrenee said:

    Hi Cavediver--I had my port inserted while having my lumpectomy
    I am now through with chemo and almost done with rads. My surgeon will remove my port after rads--in his office under local. Like another poster said, my surgeon said it is way less complicated taking it out than putting it in and having it done in his office is actually safer--both from an anesthesia standpoint and an infection standpoint (hospitals are noted for developing infections). When he took my drains out, he said I wouldn't feel a thing and I didn't, so I'm expecting the same result from port removal. I'm pretty much a chicken too, but I do have Xanax in case I really get freaky (probably won't take it though).

    Good luck to you.

    Renee

    I had my port removed a
    I had my port removed a little over two weeks ago. I couln't get my mind wrapped around the difference between insertion and removal. I was scared at the idea of the removal being done with a local and in the office, but that's how we did it and the only thing I felt was the shot of Novocaine and that wasn't bad. The whole thing took about 15 minutes and I had a nurse talking to me while he worked and that helped. But... we are all different and I personally feel that if a person is more comfortable being sedated they should have it that way.
  • Katz77
    Katz77 Member Posts: 598
    GayleMc said:

    I had my port removed a
    I had my port removed a little over two weeks ago. I couln't get my mind wrapped around the difference between insertion and removal. I was scared at the idea of the removal being done with a local and in the office, but that's how we did it and the only thing I felt was the shot of Novocaine and that wasn't bad. The whole thing took about 15 minutes and I had a nurse talking to me while he worked and that helped. But... we are all different and I personally feel that if a person is more comfortable being sedated they should have it that way.

    Ports
    I work in surgery. the main difference is the have to use a C-arm (type of x-ray machine) to place the port properly and try not to hit the lung. It's also more sterile than the Drs office. Removal is a small incision, normally and they just slide it out and close.
    I'm keeping my port for at least 5-10 yrs. So long as it works of course. It was difficult to place and I too ended up with a pneumo. Got me a chest tube also. This is the main risk with port placement, hence getting it done in surgery. I'm high risk for reoccurance so that's another reason I'm keeping mine. It's my lucky charm. Katz
  • cavediver
    cavediver Member Posts: 607
    Katz77 said:

    Ports
    I work in surgery. the main difference is the have to use a C-arm (type of x-ray machine) to place the port properly and try not to hit the lung. It's also more sterile than the Drs office. Removal is a small incision, normally and they just slide it out and close.
    I'm keeping my port for at least 5-10 yrs. So long as it works of course. It was difficult to place and I too ended up with a pneumo. Got me a chest tube also. This is the main risk with port placement, hence getting it done in surgery. I'm high risk for reoccurance so that's another reason I'm keeping mine. It's my lucky charm. Katz

    thankful for info
    great info from all.....wow, I never knew in advance of the insertion how serious it could be! Like I said, I was like a zombi from dx through first chemos and then mastectomy...but then I found this Board and started to get support and information!!! not sure how long I would keep the port....I have a 'power' port, but the labs seem unable to assess it properly so I have to make multiple stops (cancer center for nurse to access, lab for PET scan etc, then back to cancer center for flushing etc). It is also inserted rather deep on my ches (no obvious scar though) but requires a 1" rather than std. 3/4" to access. I am glad to have it for all the chemo cycles etc....it is just the removal deal being awake that scares me so much. I have time to think it over I guess...it will be a few months or more out. But I thank you all for sharing and giving me the information I need to make a decision right for me!
  • Pinkpower
    Pinkpower Member Posts: 437
    cavediver said:

    thankful for info
    great info from all.....wow, I never knew in advance of the insertion how serious it could be! Like I said, I was like a zombi from dx through first chemos and then mastectomy...but then I found this Board and started to get support and information!!! not sure how long I would keep the port....I have a 'power' port, but the labs seem unable to assess it properly so I have to make multiple stops (cancer center for nurse to access, lab for PET scan etc, then back to cancer center for flushing etc). It is also inserted rather deep on my ches (no obvious scar though) but requires a 1" rather than std. 3/4" to access. I am glad to have it for all the chemo cycles etc....it is just the removal deal being awake that scares me so much. I have time to think it over I guess...it will be a few months or more out. But I thank you all for sharing and giving me the information I need to make a decision right for me!

    Thanks cavdiver for bringing
    Thanks cavdiver for bringing this up. I too have a few months b4 my port will be removed, but its good to know all my options out there.
    Lupe
  • Bella Luna
    Bella Luna Member Posts: 1,578 Member
    If all goes well... I will
    If all goes well... I will have my port removed in September. I have two more Herceptin infusions left in August and then I'll be done with the infusion-Hooray! I will have to wait and see what the doc proposes on doing for my port removal. Take care, God bless.
    BL
  • VickiSam
    VickiSam Member Posts: 9,079 Member

    If all goes well... I will
    If all goes well... I will have my port removed in September. I have two more Herceptin infusions left in August and then I'll be done with the infusion-Hooray! I will have to wait and see what the doc proposes on doing for my port removal. Take care, God bless.
    BL

    Well if all goes well, I am on the same cycle and schedule
    my next to last chemo therapy - HERCEPTIN infusion is Tuesday,8/3 .. I may change my very very very LAST Hercp treatment to early September - as I want to be bright eyed and bushy tailed for our CSN - Southern California Union on the 28th .. and I was hoping to have my port removed within 48 hours of my last chemo. I still get sick, and fatigue even with herceptin .. go figure,. I no longer feel sorry for myself or cry, it is just a part of my life ..or as Dr. Margridal states .. my side efforts are off of the charts, and has invited me to be a part of a research project.

    I insisted on a local for my port installation (hate going under, and losing all control), funny how that sounds - as I've had 5 major surgeries since my port installation late August 2009 --. I guess I have grown accustomed to going under now - it is 2nd nature .. my preference if I'm given one , would be local. Having it taken out in my Onc office is another story ... gems is all I can think of .. just me and me freakin out about STAPH .. once you've had a staph infection, and no infectious disease professional can pin point a reason, person, place or thing .. you tend to get a little werid about gems.

    Vicki Sam