A novel exploration of treating local skin infections around totally implantable venous access ports: port repositioning technique vs. port re-implantation technique

Abstract Objective To conduct a comparative assessment of the safety and efficacy of the port repositioning technique and the port re-implantation technique in treating periport skin infections associated with totally implantable venous access ports (TIVAPs). Methods A retrospective analysis was per...

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Main Authors: Qiulian Sun, Ling Tang, Jiefei Cheng, Dongqing Ren, Xinchun Guo
Format: Article
Language:English
Published: BMC 2025-08-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-025-03039-8
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author Qiulian Sun
Ling Tang
Jiefei Cheng
Dongqing Ren
Xinchun Guo
author_facet Qiulian Sun
Ling Tang
Jiefei Cheng
Dongqing Ren
Xinchun Guo
author_sort Qiulian Sun
collection DOAJ
description Abstract Objective To conduct a comparative assessment of the safety and efficacy of the port repositioning technique and the port re-implantation technique in treating periport skin infections associated with totally implantable venous access ports (TIVAPs). Methods A retrospective analysis was performed on 35 patients who presented with periport skin infections at Jiangyin People's Hospital between June 2016 and August 2022. Among them, 15 patients in Group A underwent port repositioning surgery, while 20 patients in Group B received port re-implantation surgery. Clinical data of all patients were meticulously collected, including postoperative wound healing status and the functionality of the repositioned or re-implanted TIVAPs. Results In Group A, the median age was 58 years (IQR 46–63 years); in Group B, the median age was 60.5 years (IQR 54.3–70 years). The median BMI of Group A patients was 22.2 kg/m2 (IQR 20.4–23.5 kg/m2); the median BMI of Group B patients was 21.5 kg/m2 (IQR 20.5–23.1 kg/m2). Technical success was achieved in all patients (100%), and all ports were functional postoperatively. In Group A, the median indwelling time of the repositioned TIVAPs was 7 months (IQR 4–11 months); in Group B, the median indwelling time of the newly re-implanted TIVAPs was 5 months (IQR 3–8 months); there was no statistically significant difference between the two groups (P > 0.05). Conclusion Compared with the port re-implantation technique, the port repositioning technique for periport skin infections is a minimally invasive and cost-effective approach. Nevertheless, further investigations with a larger number of cases are required to comprehensively validate its safety and reliability.
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spelling doaj-art-682a85027ef749f8a79f2eddbedfa49c2025-08-20T03:42:20ZengBMCEuropean Journal of Medical Research2047-783X2025-08-013011810.1186/s40001-025-03039-8A novel exploration of treating local skin infections around totally implantable venous access ports: port repositioning technique vs. port re-implantation techniqueQiulian Sun0Ling Tang1Jiefei Cheng2Dongqing Ren3Xinchun Guo4Department of Radiology, The Fifth People’s Hospital of Suzhou, The Affiliated Infectious Diseases Hospital of Soochow UniversityDepartment of Radiology, Taizhou Fourth People’s HospitalDepartment of Radiology, The Fifth People’s Hospital of TaizhouDepartment of Interventional Radiology, Jiangyin Hospital Affiliated to Nantong UniversityDepartment of Interventional Radiology, Jiangyin Hospital Affiliated to Nantong UniversityAbstract Objective To conduct a comparative assessment of the safety and efficacy of the port repositioning technique and the port re-implantation technique in treating periport skin infections associated with totally implantable venous access ports (TIVAPs). Methods A retrospective analysis was performed on 35 patients who presented with periport skin infections at Jiangyin People's Hospital between June 2016 and August 2022. Among them, 15 patients in Group A underwent port repositioning surgery, while 20 patients in Group B received port re-implantation surgery. Clinical data of all patients were meticulously collected, including postoperative wound healing status and the functionality of the repositioned or re-implanted TIVAPs. Results In Group A, the median age was 58 years (IQR 46–63 years); in Group B, the median age was 60.5 years (IQR 54.3–70 years). The median BMI of Group A patients was 22.2 kg/m2 (IQR 20.4–23.5 kg/m2); the median BMI of Group B patients was 21.5 kg/m2 (IQR 20.5–23.1 kg/m2). Technical success was achieved in all patients (100%), and all ports were functional postoperatively. In Group A, the median indwelling time of the repositioned TIVAPs was 7 months (IQR 4–11 months); in Group B, the median indwelling time of the newly re-implanted TIVAPs was 5 months (IQR 3–8 months); there was no statistically significant difference between the two groups (P > 0.05). Conclusion Compared with the port re-implantation technique, the port repositioning technique for periport skin infections is a minimally invasive and cost-effective approach. Nevertheless, further investigations with a larger number of cases are required to comprehensively validate its safety and reliability.https://doi.org/10.1186/s40001-025-03039-8Totally implantable venous access portPeriport infectionPort repositioning techniqueRe-implantation of the port
spellingShingle Qiulian Sun
Ling Tang
Jiefei Cheng
Dongqing Ren
Xinchun Guo
A novel exploration of treating local skin infections around totally implantable venous access ports: port repositioning technique vs. port re-implantation technique
European Journal of Medical Research
Totally implantable venous access port
Periport infection
Port repositioning technique
Re-implantation of the port
title A novel exploration of treating local skin infections around totally implantable venous access ports: port repositioning technique vs. port re-implantation technique
title_full A novel exploration of treating local skin infections around totally implantable venous access ports: port repositioning technique vs. port re-implantation technique
title_fullStr A novel exploration of treating local skin infections around totally implantable venous access ports: port repositioning technique vs. port re-implantation technique
title_full_unstemmed A novel exploration of treating local skin infections around totally implantable venous access ports: port repositioning technique vs. port re-implantation technique
title_short A novel exploration of treating local skin infections around totally implantable venous access ports: port repositioning technique vs. port re-implantation technique
title_sort novel exploration of treating local skin infections around totally implantable venous access ports port repositioning technique vs port re implantation technique
topic Totally implantable venous access port
Periport infection
Port repositioning technique
Re-implantation of the port
url https://doi.org/10.1186/s40001-025-03039-8
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