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Spinal or General? Spinal or General?

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Unread 06-15-2002, 12:21 AM
Spinal or General?

I have been thinking about requesting spinal anesthesia instead of general. I am not frightened of general, this would be my 4th time being put under, but I remember how long it takes to get rid of the fuzzy brain feeling and start feeling normal again.

I am wondering about different individual experiences with both spinal and general anesthesia.

Also if anyone is in Canada, has this option been made available to you?

I'm also very concerned about overdoing it...I have a tough time being inactive, but I keep reading about how important it is to rest, rest, rest. I worry about the boredom a lot.

Thanks for the website, it has been so informative and supportive.
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Unread 06-15-2002, 01:51 AM
Spinal or General?

I have only had one hyst (obviously) but I have had c-sections before. The c-sections were spinal anesthesia and the hyst was general. I'd choose general over spinal (except for when I was having a baby... I wanted to be awake the entire time but that's obvious WHY. LOL). That is just my personal opinion though. The spinal anesthesia made me feel horrible afterwards... shaking, one time I vomitted, etc. After the general anesthesia I was fine- the fuzzy brained stuff I think was because of the morphine but I didn't really care if I was clear headed at the time. LOL Soon as I was off pain meds I was pretty clear headed and back to normal. I think. HEHEHE (j/k... I have foggy brain but I'm not sure it's related to the hyst- I think I just need more sleep. Look at the time I'm posting this- whatcha think? LOL)

Yes, you need to rest afterwards. I'm sure we can give you lots of ideas to break the boredom problem if need be.
Unread 06-15-2002, 07:16 AM
Spinal or General?

I had both spinal and epidural. Had terrible side effects from general and I also didn't want to risk with a morophine pain pump. Each of us are different. I did have some light shaking in the beginning which is normal and it wore off. The anesthesiologist gave me zofran before going into the O.R. and it prevented me from being sick. The sedation used with a regional is different from the sedation used for general. And with a regional, the level of sedation can be varied (light--just relaxed, medium-groggy, heavy--sleep through it all). I wasn't concerned about leaving the epidural in for post op pain relief because morphine in an epidural/spinal doesn't have the same circulation--effects are limited to nerve-endings in lower portion of body and drug does not cross brain/blood barrier. You can click on house button below for my story.
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Unread 06-15-2002, 03:22 PM
Spinal or general

As to your question about spinal or general. I have had 2 surgeries in my past. One by general and 1 by spinal. For me, when I get my hyst in Aug. I am definitely going with a general. When I had the general, yes you get all the groggy coming out of it feelings, but that is it. For the spinal you have this overwhelming anxiety of never being able to walk again. According to the recovery room nurse, the feeling or should I say lack of feeling from the waist down is the same as though you were paralyzed. It was a terribly helpless, anxious time for me. The feeling comes back from the outside of you legs to your toes and back up again toward your crotch. So, between your legs is the last place for the feeling to return. That's my opinion--hope it helps....Bonnie
Unread 06-15-2002, 08:26 PM
Spinal or General?

I had a spinal and would absolutely do it again. I never needed the morphine pump at all. It did feel a little strange in the recovery room when I realized I had no feeling in my legs - naturally not feeling anything in the OR didn't bother me at all - but once the surgery was over, it was strange not being able to move my legs. But the fact that I had very little pain from the surgery was enough to keep me from getting terribly concerned about the dead legs. My pain was never above a 3 or 4, and amounted to mild cramping, far less than my menstrual cramps had been for the last few years. Ibuprofin was all they gave me in the hospital, and it was all I needed for pain after I came home.
Unread 06-16-2002, 04:45 PM
Spinal or General?

Spinal is the only way I ever want to have surgery again. I was awake, but groggy in the OR . I asked my Anesth. nurse to send me into la la land and when I woke up in recovery I could move my legs and wiggle my toes. I was never nauseated, sick, gassy, itched or had headaches. It was great! That night I was up walking and walked more the next day. I had no morphine pump and was just given Percoset for pain. I had not had general before but my husband had and he was ever more sick even though they put stuff in his IV to prevent it, plus gas lodged in his shoulder that was waaay painful.
I had a hard time being still too! I enjoyed taking my naps but I tried to do more and more each day as far as just being on my feet and walking around outside. You do get bored after a while, but it really is important to rest. I know I over did it some, and your body will definately let you know. Just be careful about lifting, and bending etc..... Your stitches need time to heal and doing the slight thing can really cause some damage.
Good luck to you!!!
Unread 06-17-2002, 08:48 AM
Spinal or General?

I had a TVH with cystocele and rectocele repairs on June 12 under spinal. My biggest concern going in was pain while receiving the spinal. I didn't feel a thing! I slept through almost the entire operation --- woke up once and could see (there was a tv monitor overhead) that they were stitching me up. Dosed back off and woke up in post op. I could feel my legs and quickly was able to move my feet. Took a while for total feeling to return, but I was alert and felt no pain. Most unpleasant part of post op was listening to others throw up! My castle roomie had general and she was out most of that day and through the night, and overall slept more than I did. The only pain I experienced in the castle was from gas, and I don't think that had anything to do with the anesthesia. Since being home, I've had a late day headache the past couple of days. My "A" man said this might happen. I find sleep is the best way to get rid of it. This is my only surgical experience and it was a positive one for me. Everyone has different reactions to anesthesia. Whatever you decide, I wish you a speedy recovery.
Hugs and prayers,
Unread 06-17-2002, 11:19 PM

Thanks to all of you, I booked an appt for next week to talk to the "A" man and discuss my options further.


Crystal :liw:
Unread 06-18-2002, 09:21 AM
Spinal or General?

Hi there. I am in Canada and they do give you the choice. My option worked out pretty good. I had a tah/bso on April 23rd. I was given a milder general and an epidural for pain. I have had major surgery in the past and I had a lot of trouble with the (after) effects of general but this time it was great. The epidural took care of the pain and I was awake and alert right after surgery. No vomitting or shakiness. The epidural made the first 24hrs a godsend. I am glad I chose that, the pain meds are always in your system so you don't get that extreme feeling like you do when you have to pump your own morphine. I also had no trouble with my bowels or bladder coming back because I wasn't on the morphine pump. Make sure you ask as many questions as you can, it makes a difference.

Good luck, see you on the other side.
Unread 06-18-2002, 09:34 AM
Spinal or General?

I think I will go for the spinal. Every time I have had general, I have been soooooo sick. Last time, they couldn't wake me, either. I explained that (at the time) "I have 2 year old twins. I just needed extra sleep." But I do remember the panic I felt in my mind when they kept asking me if I knew my name. Like, don't YOU know who I am?

My biggest fear is the stick when they insert the thingie in my spine. Just doesn't sound right to me.

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