Abstract:

Objective: In general intravenous access might be essential in patients with increased length of hospital stay for obtaining blood samples and for administration of intravenous fluid solutions, medications and total intravenous nutrition solutions. Extended length of use and repeated usage may worsen the peripheral intravenous access. In these conditions long term central venous catheters and implantable chest ports eases the clinicians’ duty. With single incision double pocket technique, two subcutaneous pockets were done with surgical technique just above and below the incision; catheter was placed when the reservoir is in the upper pocket and then fixed at the lower pocket. We think that this technique will decrease the complications related with implantable chest ports placement in pediatric patients. In this study sigle incision double pocket technique was evaluated. Material and Methods: Single-incision two pocket technique has been practiced since January 2011 in our clinic. A total of 32 pediatric venous port placement patient in our hospital were evaluated retrospectively. In retrospective, demographic information, notes regarding the interventional process, pathology, microbiology and laboratory results and clinical observations were recorded, and the data obtained from the notes reported as a descriptive case serie. Results: At the age of 1 month to 132 months, with an average 47.3 months, a total of 32 patients (16 female, 16 male) were included in this study. Complications associated with intervention and port dysfunction was not occurred any of our patients. Venous port related infection was observed in only one of our patients (3.1%). Conclusion: Single incision double pocket technique is feasible and facilitating the process eases the procedure. Low rate of dysfunction might be an alternative for conventional technique.

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