Hepatic Artery Infusion Pump Placement: What to Expect at Home
Your Recovery
A hepatic artery infusion pump is a way to put chemotherapy medicine
directly into the liver. The pump is used to treat colorectal cancer
that has spread to the liver. The pump is a small metal container
that holds medicine. A thin, plastic tube called a catheter carries
medicine from the pump into a blood vessel that goes to your liver.
The blood vessel is called the hepatic artery. The doctor made a cut
(incision) in the right side of your belly to put the pump under
your skin.
The incision may be sore at first. Your belly may be sore and
swollen where the pump and the catheter were placed. This usually
gets better in 1 to 4 weeks. You will probably need to take at least
2 to 6 weeks off work.
You will probably be able to see or feel the shape of the pump under
your skin. With time, you may not feel the pump as much. It may be
more comfortable to wear loose clothing over the pump while you are
getting used to it.
Your doctor probably will fill your pump with chemotherapy medicine
at your first follow-up visit. The pump probably will need to be
refilled every 2 to 4 weeks. Your doctor will tell you more about
your pump and how often you'll need to have it refilled.
The pump will release medicine at a set rate. An increase in your
body temperature can make the pump release medicine at a faster
rate. This can cause your liver to get too much medicine at once. So
it's important to avoid strenuous activity, hot tubs, and other
things that may raise your body temperature.
This care sheet gives you a general idea about how long it will take
for you to recover. But each person recovers at a different pace.
Follow the steps below to get better as quickly as possible.
How can you care for yourself at home?

Activity
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Avoid strenuous activities, such as bicycle riding,
jogging, weight lifting, or aerobic exercise, until your
doctor says it is okay.
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Check with your doctor before you use a hot tub, sauna,
steam room, tanning bed, or other things that may raise
your body temperature. Do not place a heating pad on your
stomach.
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Diet
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You can eat your normal diet. If your stomach is upset,
try bland, low-fat foods like plain rice, broiled chicken,
toast, and yogurt.
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You may notice that your bowel movements are not regular
right after your surgery. This is common. Try to avoid
constipation and straining with bowel movements. You may
want to take a fiber supplement every day. If you have not
had a bowel movement after a couple of days, ask your
doctor about taking a mild laxative.
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Medicines

Incision
care
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Wash the area daily with warm, soapy water, and pat it
dry. Don't use hydrogen peroxide or alcohol, which can
slow healing. You may cover the area with a gauze bandage
if it weeps or rubs against clothing. Change the bandage
every day.
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Follow-up care is a key part of your treatment and safety. Be
sure to make and go to all appointments, and call your doctor if you
are having problems. It's also a good idea to know your test results
and keep a list of the medicines you take.
When should you call for help?
Call 911 anytime you think you may need emergency care.
For example, call if:
Call your doctor now or seek immediate medical care if:
Watch closely for any changes in your health, and be sure to contact
your doctor if you have any problems.
Current as of: October 25, 2023
Content Version: 14.0
Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.