Supportive Care in Cancer

, Volume 25, Issue 4, pp 1137–1140 | Cite as

Totally implantable vascular access device (TIVAD) placement: a modified technique that takes post-procedure aesthetic aspects into account

  • Gabriel LiberaleEmail author
Original Article


Major progress has been made in breast cancer reconstruction surgery. The standard technique for totally implanted vascular access device (TIVAD) implantation generally requires an incision for port insertion on the anterior part of the thorax that leaves a scar in the middle of the neckline in patients who have undergone mastectomy with complex breast reconstruction. The aim of this technical note is to report our revised surgical technique for TIVAD placement. In patients with breast cancer, we take a lateralized approach, performing an oblique incision on the lowest part of the deltopectoral groove. This allows us to introduce the port and to place it on the anterolateral part of the thorax, thus avoiding an unaesthetic scar on the anterior part of the thorax. Our modified technique for TIVAD implantation is described.


TIVAD Breast cancer Cosmesis Satisfaction 



The author wishes to acknowledge the contribution of a medical writer, Sandy Field, PhD, for English language editing and formatting of the manuscript.

Author contributions

GL drafted and revised the manuscript.

Compliance with ethical standards

Conflict of interest

The author declares that he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Digestive Surgery Clinic, Department of Surgical Oncology, Institut Jules BordetUniversité Libre de Bruxelles (ULB)BrusselsBelgium

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