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FACT CARD
Most surgical procedures have some risks. This section of the booklet describes the risks of having an Ommaya reser-
voir placed. Your doctor, nurse, or both will discuss these risks with you in more detail and answer your questions.
Bleeding
There is a small chance that you could bleed into your brain. You will have a blood test the day before the surgery
to make sure your platelet count is okay. Platelets make clots to prevent bleeding. Stop taking anything that has
aspirin in it 10 days before surgery. Stop taking drugs such as ibuprofen 48 hours before the operation. Your nurse
will give you a card that lists most of the medicines and brand names that have either of these drugs. Be sure to tell
your doctor or nurse if you have any questions.
Neurologic Injury
The catheter goes through a part of the brain that has no critical function. This part of the brain does not involve
language, movement, or major sensory functions such as taste or touch. Still, there is a small risk that you could
have some loss of function.
Infection
There is a small risk that you could get an infection in the brain. Tell your doctor if you have any sign of infection
before your surgery. These include:
• Fever over 101° F (38.3° C)
• Cough
• Local skin wounds
• Rash
Your surgeon will take great care in cleaning the skin on your scalp before the surgery. You will take an antibiotic
for 24 hours after the surgery. It helps reduce the chance of an infection.
Catheter Placement
Your catheter must be in the right place before you can get chemo through it. You will have a CT the day after sur-
gery. If the catheter is not in the right position, you may need more surgery to fix it.
• Check your incision daily. Look for any signs of redness, swelling, or drainage. While you are in the hospital,
your doctor and nurse will check it. When you are at home, use a mirror or ask a family member or friend to
check the incision with you.
• Keep your incision clean and dry for five days. After five days you may shower, wet your incision and wash your
hair. Be sure to use a gentle shampoo such as baby shampoo. The clips or sutures will still be on your scalp.
• It takes about six weeks for the incision to heal completely.
• You may wear soft clean scarves, hats, or caps. Do not wear wigs or tight-fitting hats until your incision is com-
pletely healed.
• Avoid the use of hair tints for at least six weeks.
• If you have any questions or concerns, please discuss them with your doctor or nurse.
After 5 p.m. or on weekends, call the Page Operator (212) 639-7900 and ask for the doctor on call for your service.