Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: Micky on December 24, 2014, 02:33:15 PM

Title: spinal block for hysterctomy
Post by: Micky on December 24, 2014, 02:33:15 PM
I am going in for a full hysterectomy next week & trying to understand the different options of anaesthesia ...I don't like being completely knocked out -so am wondering if a spinal block or epidural would be preferable for me and if its possible with a full hysterectomy ....Any ladies had this??
Title: Re: spinal block for hysterctomy
Post by: CLKD on December 24, 2014, 03:00:17 PM
Give the Hospital a ring and ask to speak with the Anaesthetis who works in the Team that will be doing the surgery ………. most Surgeons work with the same Anaesthetist each time.
Title: Re: spinal block for hysterctomy
Post by: honeybun on December 24, 2014, 03:49:04 PM
 :'( :'(I had three kids with a spinal block and C section.

A few years ago my mum broke her hip. The consultant encouraged her to have the op under a spinal block. He said recovery was much quicker.

As CLKD says phone and ask and then you can make your decision from there.

Good luck when the time comes.


Honeyb
x
Title: Re: spinal block for hysterctomy
Post by: Joyce on December 24, 2014, 03:53:43 PM
I had second caesarean using a spinal block. It was great, but although pain free, I could still feel all the tugging etc at the birth. I imagine hysterectomy may be similar. Hard to describe, but best one I heard was try & imagine someone doing the washing up in your tummy.  I was knocked out for my hysterectomy, but if you feel strongly enough I'd ask your surgeon/anaesthetist if a spinal block is an option.
Good luck with your op.
Title: Re: spinal block for hysterctomy
Post by: Micky on December 24, 2014, 06:04:51 PM
Thank you ladies - I am booked in for 7 am next Tuesday morn -so am assuming I will get to see the surgeon/doc before the actual op and get a chance to ask a few questions etc ....Yikes
Title: Re: spinal block for hysterctomy
Post by: Joyce on December 24, 2014, 06:13:14 PM
They usually do health checks day before, but worth checking before then if you can, so they are better prepared for your wishes.
Title: Re: spinal block for hysterctomy
Post by: Mrs January on December 24, 2014, 11:31:04 PM
Hi There

I had two C sections by epidural...one leading to a 12 lbs baby boy. Yes awake and felt fine, just tugging, pulling etc but NO pain........Left me feeling in control as I had General anaethetics......fours hours after having my daughter I was in the shower and drip down:))

Just a thought re pain control post op too. Voltarol PR (by rectum ) was the most effective....don't opt for tablets for pain post op in the first couple of days....it won't be effective enough....

Hugs Mrs January xx
Title: Re: spinal block for hysterctomy
Post by: Taz2 on December 25, 2014, 01:02:55 AM
Spinal block is offered for hysterectomy but it does depend on the health and overall temperament of the patient. You can ask the same question over at the hysterectomy UK forum. I had some great support in the summer when I was waiting to have mine http://www.hysterectomy-association.org.uk/

Taz x
Title: Re: spinal block for hysterctomy
Post by: lancashirelass on December 27, 2014, 08:27:06 PM
Im not sure.for a hyst they would let you depends if.you are having womb only removed or everything.  Personally i wouldnt want to be awake. 
Title: Re: spinal block for hysterctomy
Post by: Taz2 on December 27, 2014, 08:39:34 PM
Lancashirelass - spinal block is used quite routinely for hysterectomies now - including taking the ovaries too. It has a great success rate but does depend on whether the patient is prone to anxiety as it is quite a noisy procedure. The hysterectomy association mention it http://www.hysterectomy-association.org.uk/information/what-is-a-hysterectomy/how-is-a-hysterectomy-performed/

Taz x
Title: Re: spinal block for hysterctomy
Post by: honeybun on December 27, 2014, 09:39:08 PM
I agree but when having kids it's not the noise but more sort of tugging and pulling. I did get a bit distressed but the anethisitis is there to help and I had a little injection and sort of floated off for a short while.
My mother remembers nothing about her hip op and that involved a hammer as a plate was put in.

Hospital will keep you right and make sure everything goes smoothly. That's what they are there for and although it's a huge thing for us they do it day in and out and want the best possible result.


Honeyb
X
Title: Re: spinal block for hysterctomy
Post by: CLKD on December 28, 2014, 09:52:13 AM
Surgical intervention is NOISY  ;D and that's not only the Surgical Team chatting away  ;)

I have seen instruments used for the various operations ………. like being in a carpenters' work shop - think Santa and his Elves and you are almost there ………..  :whist:

Give the Ward a ring today ! so that your wishes can be passed to the Consultant and Anaesthetis in good time, otherwise you might not see them until you get to Theatre.
Title: Re: spinal block for hysterctomy
Post by: Taz2 on December 28, 2014, 09:55:21 AM
Thank you ladies - I am booked in for 7 am next Tuesday morn -so am assuming I will get to see the surgeon/doc before the actual op and get a chance to ask a few questions etc ....Yikes

Wasn't this discussed at your pre-op assessment Micky? I remember being asked at mine. I did meet the surgeon briefly in the anaesthetic room before the op but by then I had signed all the necessary forms regarding which type of anaesthesia I preferred.  The waiting is the worst part - you will soon be back home and feeling so relieved that it's all over.

Taz x  :)
Title: Re: spinal block for hysterctomy
Post by: CLKD on December 28, 2014, 09:58:28 AM
I believe that the Consent Form is signed at the pre-op assessment?  However, it does state that if there are any issues after signature that these can be discussed prior to surgery.  But if 1 doesn't get to see a Senior Nurse or Consultant/Anaesthetis before going to theatre  :-\ …… which is why it is important to speak to the Ward sooner rather than later if one has any concerns, and not to have any pre-med before you are satisfied.  'Cos that pre-med don't half knock one's thought patterns out  ::) ……… don't be fobbed off!
Title: Re: spinal block for hysterctomy
Post by: Taz2 on December 28, 2014, 10:54:21 AM
I didn't have a pre-med as they always  make me feel worse afterwards. It's all down to personal choice I suppose. I did want to walk down to theatre but it's a long long way in our hospital so had to be wheeled down on the bed.
Title: Re: spinal block for hysterctomy
Post by: CLKD on December 28, 2014, 11:21:43 AM
 :o I would never walk to theatre, it's the Porters that kept me going with their sense of humour  ;D - the Life and Soul they were ………

I would never get to Theatre without a pre-med ……. and GA is the best sleep I ever have
Title: Re: spinal block for hysterctomy
Post by: Taz2 on December 28, 2014, 12:58:15 PM
I didn't see the GA as a good sleep - went to fast for that - one minute on the trolley with the needle thingy and next minute awake in recovery - I thought that someone had fast forwarded the clock two hours!

Taz x
Title: Re: spinal block for hysterctomy
Post by: Joyce on December 28, 2014, 01:05:25 PM
Not a good sleep when pain wakens you.

I've always had a pre-med, which on one occasion relaxed me so much I fell asleep, only to get wakened to get GA. Thought op was over, hadn't even begun.
Title: Re: spinal block for hysterctomy
Post by: CLKD on December 28, 2014, 01:54:23 PM
 ;D ……. the 1st thing I always did was look at the clock - that way I knew I had survived ……… I am always a bothersome mare to bring out of GA though as I am usually in the middle of a Very Good Dream  ::)
Title: Re: spinal block for hysterctomy
Post by: Taz2 on December 28, 2014, 04:44:02 PM
Have you had a lot of operations CLKD - I've only had two GA's

Taz x
Title: Re: spinal block for hysterctomy
Post by: CLKD on December 28, 2014, 04:47:29 PM
Yep  ;D - the 1st was in the Hospital where I worked  ::) - my Boss wandered by muttering "I'm sure that's …… on the trolley"  :) but he wouldn't have seen a better body than mine all year ……….. to date, have had 7 ops ………… getting quite blasé now.  That's not to include the dental surgery over the years - DH has only so far had 1.
Title: Re: spinal block for hysterctomy
Post by: Taz2 on December 28, 2014, 04:49:17 PM
That's quite a few! Were they all pre-planned or emergency? Quite a lot for you to deal with!

Taz x
Title: Re: spinal block for hysterctomy
Post by: CLKD on December 28, 2014, 04:55:30 PM
1 was an emergency although I had been on a drip for 18 hours prior to my appendix becoming ripe all the other trips were cold surgery ……… it happens.  I survived.  The pain relief was good, I trusted my surgical team and asked all the questions before hand ……...
Title: Re: spinal block for hysterctomy
Post by: Taz2 on December 28, 2014, 04:58:16 PM
I just wondered as that's a fair few operations. Well done on surviving!!

Taz x