Re: ENDOMETRIOSIS: Laparoscopy for Endometriosis
From: Kim (anonymous@obgyn.net)
Fri, 25 Apr 2008 00:17:16 -0500 (CDT)
TexasCSR,
I while I agree with Grateful Mom and Robin for the most part, I wanted
to make you aware of one other situation. My surgeon....I have 8 laps
for endo...absolutely refuses to do a laser lap under spinal anesthesia.
He explained that it is too risky to do use the laser if the bowel is
not completely paralyzed and he is not willing to risk nicking the
bowel. This made complete sense to me, so I opted to not argue even
though I have a very difficult time with general anesthesia. Please
keep in mind, sometimes we need to ask why they make the decision or
policy they have and then with a little understanding, it is easier to
go along with that decision.
At Tue, 22 Apr 2008, TexasCSR wrote:
>
>Hello,
>
>I am a 28yr woman in the Dallas area who is undergoing a laparoscopy
>procedure tomorrow. I have a few questions regarding the videotaping of
>the procedure and anesthesia techniques.
>
>Recently, I changed gynecologists and my new gynecologist reviewed my
>lab results and stated that I needed to have laparoscopy surgery to
>diagnose endometriosis. She stated that this procedure requires general
>anesthesia and there is no other option. From what I've researched on
>the internet, it seems that I do have an option of local anesthesia with
>sedation as an option or epidural anesthesia. I would like to avoid
>general anesthesia if at all possible. I have heard that there are
>shorter recovery times with the other types of anesthesia available. My
>ob/gyn states that it would take a long time to do the surgery and more
>doctors would need to be involved different anesthesia methods. Would
>you be able to give me any insight into my options?
>
>Also, there seems to be an issue with my ob/gyn videotaping my entire
>procedure. Upon first consultation with her, she stated that video is
>available as a courtesy. Then yesterday for my pre-op visit, she stated
>she was unsure if video was available. I called the surgical center to
>find out if there were video capabiities there, and they stated that
>indeed there is video there. All I would need to do is bring a CD and
>it would be up to the individual doctor as to whether or not she would
>burn a copy for me.
>
>I am also receiving a hysteroscopy during this surgery. Again, the
>research that I have seen on the internet stated that removing polyps
>with a hysteroscope does not need to be under general anesthesia.
>
>Any comments you would have on this would be greatly appreciated. Seeing
>this contradicting information is leaving me skeptical of my ob/gyn's
>abilities to perform my procedure correctly.
>
>Thank you.
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