Re: UROGYNECOLOGY: Rectocele repair/General or spinal anesthesia

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I would recommend spinal or epidural anesthesia, there are fewer problems with vital signs and you awaken from mild to moderate sedation pain free before the numbness wears off. It is an excellent choice for low pelvic surgery. There is no anesthetic agent throughout your entire body so when it wears off it is over, less nausea and less respiratory problems.

--
Amy Rosenman, M.D.
Assistant Clinical Professor GYN
UCLA - Santa Monica, California

Note: Opinions expressed here are for educational purposes
       only and, as such, do not constitute a physician-patient
       relationship.  This information is not intended to supplant
       the need for you to consult with your physician prior to
       choosing therapeutic options and/or interventions.
 ** Private emails cannot be entertained due to time
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At Sat, 18 Aug 2007, caitcon wrote:
>
>Hi,
>I had cystocele/TOT sling and tubaligation in May 2007.  I was given
>General Anesthesia.  I am scheduled for rectocele repair in two weeks.
>I have two anesthesia opions for my repair this time, either General or
>Spinal.
>During my last surgery I was experiencing difficulties in the recovery
>room.
>For a period of about 45 minutes (starting about 35 minutes after
>surgery) they had trouble keeping my vitals stable.  For at least 30
>minutes my bloodpressure was around 60/30 and my oxygen saturation
>between 76-82%.  After about 45 minutes they were able to keep my oxygen
>above 90 and my bloodpressure slowly started to increase.  I remember
>that the nurse told me at one point that some people keep the anesthesia
>medicine in their fatty tissue longer than other and then release it all
>at once, and that is why I was not doing so well for a while.
>Now my question, given that this happened in the recovery room, would my
>risks of this happening again be smaller by using spinal anesthesia?
>I am leaning towards general again, but would consider a spinal if less
>problems occur.  Any input would be appreciated....

• Next message: Amy Rosenman, M.D.: "Re: UROGYNECOLOGY: Second Rectal Prolapse 30 yrs old never had kids"
• Previous message: William F. von Almen, II, MD, FACOG: "Re: ULTRASOUND: bulky uterus and very thik endometrium."
• In reply to: caitcon: "UROGYNECOLOGY: Rectocele repair/General or spinal anesthesia"