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OK...Port Removal....Local or put to sleep

Buzzard's picture
Buzzard
Posts: 3073
Joined: Aug 2008

Ports coming out here also...got the ok from the onc so its outta here...which is best or easiest...local or being out....I am a little squeamish and OK I admit it, I passed out when they put the epidural in before lung surgery....yep, out like a light, when he told me to bend my head over and be still oh yeah I was,,, still laying there when I woke and said I passed out huh.....hehe, I am very surprising..I sure surprised them.....OK so be honest. put to sleep or local snip snip naw the heck with it...Im going out........lol...thanks just the same.....buzz the sissy...lmao

biglaur's picture
biglaur
Posts: 72
Joined: Apr 2010

and they better put me out...

Patteee's picture
Patteee
Posts: 950
Joined: Jul 2009

Here is my story- the horror of emergency surgery and the chemo experience was still way to fresh in my mind when I had my port out. I was crying to my oncologist about my fear of hospitals, doctors, needles- he called and talked to the intervention radiologist who was to take it out and nobody had a problem with me being, well, ah, heavily medicated. As in starting the night before. I was on valium up until the twilight drug kicked in. Oh, my oncologist doesn't take these out- it is done in outpatient at the hospital. Am I am whimp? Absolutely. But I also appreciate my oncologist who doesn't expect his cancer patients to chin it up and just take it. I thought, with good reason, that I had been through enough already, and something so simple as getting the port out, that I wanted that to be a piece of cake. And it was! So I say to you, "man it up Buzz and demand the good twighlight stuf!"

herdizziness's picture
herdizziness
Posts: 3642
Joined: Apr 2010

When my time comes to get this little port out (my grandson is going to miss it, his little chubby hands always ends up trying to play with it, but he's got a good couple more years or so with it) I'm going to S L E E P!!!
Yep, that's the way to go Buzz!!!
Winter Marie
PS, CONGRATS on getting it out!!!!

tootsie1's picture
tootsie1
Posts: 5065
Joined: Feb 2008

You're not a sissy! If I had one, I would surely tell them to put me to sleep!

*Hugs*
Gail

soccermom13's picture
soccermom13
Posts: 226
Joined: Feb 2010

Great that you are getting the port out. To me if signified the end of treatment! I had a local, just a little tugging and it was out. The doc asked if I wanted to keep it or have him just throw it away - I did not want to see it so he tossed it. now I wish that I had kept it and thrown a stompin' party!

herdizziness's picture
herdizziness
Posts: 3642
Joined: Apr 2010

A stompin' party sounds so fantastic when it comes to saying goodbye to the port and all it means!!

taraHK
Posts: 1961
Joined: Aug 2003

I've done both. Local was OK but I agree with others -- after all we've been through.....whether a "light general" or a "heavy local", I tell my docs I want to be in la-la land.

I had one surgeon ask me what music I wanted to be listening to during a procedure (I think it was insertion of a port). I told him he should chose whatever HE wanted to be listening to -- because I didn't intend to be awake enough to hear it! He got the point....

Good luck!

Tara

jararno's picture
jararno
Posts: 189
Joined: May 2010

I still have my Port, but I have already discussed the future removal ( when the time comes ) with my surgeon. He can remove it in his office with me being "awake" or I can go to the hospital and get the la la land stuff. I opt for door number 2 please!

I was asleep for the Port placement done by my surgeon and later found out that I would have been awake if the radiologists had done it as I had originally been told I would be getting. I happened to mention getting a Port to my surgeon and he said he could do it if I wanted
( He did my sigmoid colectomy, so I already knew him )

I am a severe medical chicken and ended up in the ER three weeks ago after collapsing in the Oncology Office during a "routine" Port Flush. After three days in the hospital I was told I
probably "fainted" which I highly doubt as I made it through 12 rounds of Folfox without having that issue!

If given a choice I always opt for a good sleep. I always let the docs know that I am a needle phobic and would appeciate some drugs! ( I usually hesitate to take any pain killers and try to tough out pain as I tend to have unusual reactions to meds )

Have a nice sleep.....you feel more refreshed if they do it right!

Take Care,

Barb

coloCan
Posts: 1956
Joined: Oct 2009

The surgeon who did my colostomy also inserted and removed port. Port removal was done in his office with local applied to chest area....It hurt a bit, esp when he twisted and turned it to pull it out. Wanted to save it but then remembered I'll have the stoma he created forever so why save the port? You'll end up with a little scar where port had been to go along with all the other battle scars......best of results, Clift.......steve

Sundanceh's picture
Sundanceh
Posts: 4408
Joined: Jun 2009

Best move to make, Buzz. You close your eyes, then open 'em, and it's all over. And congrats on the removal. I've had 3 installed and 2 removed. Looking forward to getting #3 out one day too.

Enjoy your Versed and Fentanyl "Margarita."

-Craig

Nana b's picture
Nana b
Posts: 3045
Joined: May 2009

They put me out for about 15 minutes or less.

JoyceSteele's picture
JoyceSteele
Posts: 146
Joined: Nov 2010

So glad for you the port is coming out. I opt for sleeping through it too. We have enough junk we cannot sleep through as it is. lol... best wishes! Hugs, Joyce

scouty's picture
scouty
Posts: 1976
Joined: Apr 2004

I drove to have breakfast after mine. The local "stuff" they used kept me from feeling anything. You can't really see the doc working either with the location.

I always hated having to have a driver so it was an easy decision for me. I had left mine in for 2 years after my last chemo treatment and it was in there pretty good but again I didn't feel anything. The bruise it left looked pretty wicked and I remember being surprised by it.

Lisa P.

CherylHutch's picture
CherylHutch
Posts: 1399
Joined: Apr 2007

You don't want to be put out as in a General Anesthetic. Trust me... we all go through enough "surgical" procedures where one has to have a general and although people feel that is the easiest, it is the hardest on your body, heart and system. Avoid general anesthesia whenever you possibly can.

Having said that... by all means take the "sedation" medication... it's the same sedation stuff they give you for a colonoscopy. The "local" freezing they put in before doing the removal procedure (or insertion), is very, very good and you will never ever feel anything that they are doing even if you are awake. The sedation doesn't work on me as far as knocking me out... I'm wide awake throughout and have no problem with it. I'm sure it must calm me down since I never feel any anxiety or panic... but seriously, I would never go under a general or be knocked out where I then needed to stick around at the hospital for a few hours while the anesthesia wore off (or if you got a general, you might have to stay overnight for observation).

When I had my port installed at the end of January... I had the sedation and a local... once the procedure was done (20 minutes), they wheeled me back to the recovery room and I could get up, dress and leave within 15 minutes of coming out of the operating room. Two friends picked me up and we went out for lunch (I was hungry by then), then they brought me home and I got back to doing some computer work :)

Buzz... if *I* can do that ... you certainly can too. Don't talk yourself into it being something worse than it is because it really isn't :)

Cheryl

SisterSledge's picture
SisterSledge
Posts: 342
Joined: Feb 2011

I just got my port six days ago, so here's my 2cents...had a local and they also gave me valium or something for anxiety. It went fine and I'm a way big med-baby too. Being put under completely scares me just as much as the thought of experiencing the actual procedure itself. Also, if put out you take longer to come out from under and are likely to experience more after-effects from the meds.

While we're on the subject of ports, can someone fill me in on the methods/schedule used to keep it clean in there?

Janine

CherylHutch's picture
CherylHutch
Posts: 1399
Joined: Apr 2007

Hi Janine,

Are you talking about the catheter/tubing part that goes into the vein and keeping that clean? The device itself is sterile when they insert it and will remain sterile inside (there is nothing to contaminate it). As for the catheter/tube part that is used for infusing the chemo into the vein... it depends on the type of port they installed. After you have had a chemo infusion, the nurse will then flush it with either saline solution or "heprin". The port I have which was inserted in January, only needs a saline flush. The older ones need a flush of "Heprin" which makes sure no blood clots form around the catheter. If you are not using your port (some of us will end up keeping them for a year or two after we finish chemo, just in case we need it again), then they have to be flushed every 4-5 weeks or so. It is a quick 30 second procedure, so you can have that done at a Dr's appt. or when you next go have blood work done. It's no big deal... just a poke with a needle as they put a syringe of saline solution in.

Cheryl

SisterSledge's picture
SisterSledge
Posts: 342
Joined: Feb 2011

That's exactly what I wanted to know :)

christinecarl's picture
christinecarl
Posts: 545
Joined: Sep 2009

But not fully under, if that makes sense, just drugged up enough to not remember. The recovery was not an issue, I never even needed all the Vicodin they gave me for after. I mostly just used Aleve.

abrub's picture
abrub
Posts: 2167
Joined: Mar 2010

I like to be present, and was comfortable. It also meant I could leave the hospital more quickly after the procedure, and didn't have to wait around several hours. (My husband appreciated that, too. However, I didn't do it for him, I did it for me.)

Whichever way you are comfortable is right for you.

stratplayer's picture
stratplayer
Posts: 41
Joined: Jul 2010

Can you spell Versed and Fentanyl.
That is what I received for both colonoscopies.

lisa42's picture
lisa42
Posts: 3661
Joined: Jul 2008

I'd ask for whatever you feel most comfortable with! When I had to have my port removed due to having a crack/leak, then have it replaced again, I insisted that they give me the most stuff possible so I wouldn't feel anything or be aware of what was going on. I told them about the awful time I had when my first port was put in- it felt like someone was pounding on my chest with a sledgehammer! Having it removed isn't nearly as bad as having it put in, but if you're worried, I'd say alleviate your worries by asking to be put out as much as possible.

Best wishes!
Lisa

PamPam2's picture
PamPam2
Posts: 376
Joined: Jan 2009

Well Buzz Wish I had been given the choice. My removal was painful and unpleasant, the local hurt like he ll and it was tough to get out, heard it all, and he had to cauterize and i could hear and smell that. AFTER I was told the longer you have one in more tissue grows around it and its tougher. Mine was in about 4 or 5 years. Nuff said. Sleeeep
Pam

kuastoi
Posts: 63
Joined: Apr 2009

Go with Propofol - induces mild/moderate sedation in small doses and has an amnestic effect too. Just had some lymph nodes biopsied on my neck, it work well with no residual drowsiness after.

Tom

plh4gail's picture
plh4gail
Posts: 1238
Joined: Oct 2010

Sleep Buzz, sleep.....

Gail :)

VickiCO's picture
VickiCO
Posts: 934
Joined: Oct 2008

I've had two taken out - both times as outpatient surgery. The only way to go....and the drugs are great!

Many hugs, Vicki

Jewells's picture
Jewells
Posts: 18
Joined: Feb 2011

When I had my port removed, I just had a local. I wasn't given the option to be put to sleep :} It really wasn't a big deal. It didn't hurt at all, just pressure and pulling. You'll do great no matter which way you choose and you will definitely feel a sense of freedom when it's over! Congrats!!!!

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PhillieG's picture
PhillieG
Posts: 4912
Joined: May 2005

How do you get your chemo now?

Jewells's picture
Jewells
Posts: 18
Joined: Feb 2011

Sorry, I haven't been on for a few. They put a new port in in the other side when they found out the cancer came back. They said there is no way they would use my veins. The chemo would hurt them. I don't think I will be so quick to have my port removed this time.

pete43lost_at_sea's picture
pete43lost_at_sea
Posts: 3908
Joined: Nov 2010

hey buzz,

I had mine put in under local and he was pushing and shoving it here and their. its a great time to join in the small talk of the operating room.

pretend to be asleep and then just listen to what they did on the weekend. then surpise the hell out of them by asking some questions.

I watched my port on the way in and I'll watch the ******* on the way out if I can.

either way just have one dam big party. I might get mine to take home as a reminder of all the chemo the little port pumped into me. its not a bad visible reminder of chemo part of the journey.

welldone buzz, its awesome its coming out anyway.

Pete

pete43lost_at_sea's picture
pete43lost_at_sea
Posts: 3908
Joined: Nov 2010

hey buzz,

I had mine put in under local and he was pushing and shoving it here and their. its a great time to join in the small talk of the operating room.

pretend to be asleep and then just listen to what they did on the weekend. then surpise the hell out of them by asking some questions.

I watched my port on the way in and I'll watch the ******* on the way out if I can.

either way just have one dam big party. I might get mine to take home as a reminder of all the chemo the little port pumped into me. its not a bad visible reminder of chemo part of the journey.

welldone buzz, its awesome its coming out anyway.

Pete

PhillieG's picture
PhillieG
Posts: 4912
Joined: May 2005

They can take it out before the cremation. That and my HAI pump. I'm still using port but it's hardly a nuisance at all and I just assume leave it in case it's needed down the road.

"the only way they'll get my port is when they pry if from my cold dead...chest"
;-)

P_I_T_A's picture
P_I_T_A
Posts: 133
Joined: Oct 2009

Just get knocked out, easy peazy!!

schnauzerheads's picture
schnauzerheads
Posts: 53
Joined: Jan 2011

I was halfway between fully knocked out and awake for the install, I'm not sure how you would request that but that's how they described it. Had Propofol for the colonoscopy, which was great, and something a bit stronger for the port going in. I can remember bits and pieces of the surgery, and was pretty much wide awake toward the end... could feel some pressure and hear the conversation when they were closing me back up. I was up and walking around ready to hit the buffet within an hour. I'm going to avoid the seriously heavy sedation whenever possible because I've never enjoyed the idea of being kept alive by machines... will opt for the light route when I get this thing out (hope) in 6 months. My $.02, go for the light sedation. Congrats on getting it out!!

Kevin

bigCrandy
Posts: 75
Joined: Sep 2008

Hey Buzzard, if I were you I would opt for having it removed in the doctor's office, that's where I had my first port taken out, it was a breeze. My first port got plugged up, plus the cancer was gone, so the surgeon who put it in asked me how I wanted to have it taken out. He told me he could do it right now in his office with his nurse and I said let's do it. He gave me a couple of novacane shots and in 20 minutes I was stitched up and gone. No pain what so ever, besides it's a lot cheaper in the office than as an outpatient. Of course the cancer came back and I had a second port put in on the other side. Installing the port must be done as an outpatient, but removal can easily be done in the office. Hope this helps and congrats for having it removed, Randy

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