Çocuk Hastalarda Tümüyle Yerleştirilebilen Venöz Erişim Yollarının Çıkarılma Nedenlerinin Değerlendirilmesi
xmlui.mirage2.itemSummaryView.MetaDataShow full item record
In Hacettepe University Faculty of Medicine, Department of Pediatric Surgery, ports implanted and removed between 2000-2013 were evaluated retrospectively to determine the reasons for port removal. The recordings of 242 patients with a mean age of 9.4 (4-9 y) years, male to female ratio of 1.32:1 were evaluated. The mean age and male to female ratio of patients in CTG (n=170, 70.2%) and CG (n=37, 29.8%) were 1.32:1, 1.15:1 and 10.2±4.9, 7.7±4.4 respectively. There is no significant difference between groups for age, weight, height and body mass index (p>0.05). Patients were grouped according to diagnosis; hematologic malignancies (n=77, 31.8%), solid tumours (n=94, 38.8%), other malignancies (n=57, 23.6%) and diagnosis without malignancy (n=14, %5.8). The reasons for port removal were infections (n=37, 51.4%), port-skin dehiscence (n=13, 18.1%), leakage (n=7, 9.7%), thrombus in port (n=6, 8.3%) and conversion to dialysis (n=2, 2.8%). In hematologic malignancies and solid tumours, the most common complications were infections, and in other diagnostic groups other complications were prominent. Port removal due to other complications was more common in patients with steroid treatment than patients without steroid treatment (p<0.05). The most common isolated microorganisms in patients with port infectious were fungi, S. aureus ve S. epidermidis respectively. In conclusion, one third of the children with intravenous ports underwent port removal because of complications. In patients with hematologic malignancies, port removal before completing the treatment was more common and most of them were because of infectious complications. Patients who received steroid treatment had higher rate of non infectious complications and infectious than others without steroid treatment.