Background: Surgical treatment of rectocele and cystocele is usually performed in a hospital setting under regional (spinal or epidural) or general anesthesia , and patients commonly have to stay in the hospital for at least one or two days.
Can prolapse surgery be done with local anesthesia?
During the procedure
You will be given a general, spinal or local anaesthetic and/or sedation . out during the operation. For example; having a continence procedure, if you have stress urinary incontinence, or carrying out either a womb suspension procedure or a hysterectomy if your womb is prolapsed.
What procedures is spinal anesthesia used for?
Spinal anesthesia is most commonly used for anesthesia and/or analgesia for a variety of lower extremity, lower abdominal, pelvic, and perineal procedures . Spinal anesthesia is also occasionally used for spine surgery.
How long do you stay in hospital after rectocele surgery?
You’ll usually need to stay in hospital overnight or for a few days . Most women can go home once their bladder is emptying well. In rare cases, you may need a catheter for a week or so. You’ll still be able to go home, but you’ll need to come back in a week or two to have the catheter removed.
Is it better to have a spinal or general anesthesia?
However, general anesthesia is commonly preferred because of its faster onset of action [2]. Spinal anesthesia is also associated with a better control of postoperative nausea and vomiting [7] and a higher possibility of early discharge [8, 9].
Which is safer spinal or general anesthesia?
Kuju et al compared the effectiveness of spinal anesthesia and general anesthesia for open cholecystectomy and results shown that spinal anesthesia is safe and more effective than general anesthesia .
Are you awake during spinal anesthesia?
You will not be awake during surgery . Spinal anesthesia provides surgical anesthesia and you will be given sedatives to help you relax and put you in a light sleep. The level of your sleepiness can be adjusted and you can be easily awakened, if needed. In other words, you will be sleepy but not completely out.
What is difference between epidural and spinal anesthesia?
Spinal anesthesia involves the injection of numbing medicine directly into the fluid sac. Epidurals involve the injection into the space outside the sac (epidural space) .
What is the most common complication of spinal anesthesia?
Abstract. Serious neurological complications after spinal anesthesia are rare, but do occur. The most common are postdural puncture headache and hypotension . Hypotension after spinal anesthesia is a physiological consequence of sympathetic blockade.
What kind of anesthesia is used for rectocele repair?
Background: Surgical treatment of rectocele and cystocele is usually performed in a hospital setting under regional (spinal or epidural) or general anesthesia , and patients commonly have to stay in the hospital for at least one or two days.
What type of anesthesia is used for prolapse surgery?
In this procedure, which is performed with general or regional anesthesia , a surgeon operates through the vagina to put the prolapsed organ back in its original location. Most women go home within 24 hours of the surgery and feel well soon afterward.
How is a rectocele repair?
The goal of rectocele repair is to strengthen the wall between the vagina and rectum. In this surgical procedure, the doctor will make an incision into the back wall of the vagina. The layers under the vaginal wall are then sutured together in such a way as to tighten the tissues and reinforce the strength of the wall.
Is a rectocele repair painful?
The most common postoperative symptom after rectocele repair is rectal pressure and discomfort . This should resolve over several weeks as the tissue heals. The success for this procedure to correct the bulge is over 80-90 percent depending on the technique used.
How do you poop after rectocele surgery?
- Sit on the toilet seat (never hover)
- Place your feet flat on the floor.
- Rest your hands or forearms on your thighs to support your trunk.
- Lean your trunk forwards.
- Keep the inward curve in your lower back during emptying (see bowel emptying position above)
What is the success rate of rectocele surgery?
Studies show about 75% to 90% of patients have significant improvement but this level of satisfaction decreases over time.
What are the disadvantages of spinal anesthesia?
- Failure of the spinal.
- Pain during the injection.
- Low blood pressure.
- Headaches.
- Itching.
- Difficultly passing urine.
- Backache.
Are you intubated during spinal anesthesia?
How does spinal anesthesia benefit patients? Unlike general anesthesia, spinal anesthesia does not require patients to use breathing tubes .
What hurts worse spinal block or epidural?
Predicted pain for epidural and spinal insertion ( epidural 60.6 +/- 20.5 mm, spinal: 55.1 +/- 24 mm) was significantly higher than the pain perceived (epidural 36.3 +/- 20 mm, spinal 46.1 +/- 23.2 mm) (epidural P < 0.001, spinal P = 0.031).
Who is not a good candidate for general anesthesia?
Those who are elderly or ill may not be suitable candidates for general anesthesia because it requires a delicate balance by the anesthesiologist to keep you sedated but not so much that your body starts shutting down.
How do you recover from spinal anesthesia?
- Drink small amounts of clear liquids such as water, soda or apple juice.
- Avoid foods that are sweet, spicy or hard to digest for today only.
- Eat more foods as your body can tolerate.
- If you feel nauseated, rest your stomach for one hour, then try drinking a clear liquid.
Does a spinal anesthesia hurt?
What will I feel? A spinal injection is often no more painful than having a blood test or having a cannula inserted . It may take several minutes to perform. you do, try to remain still, and tell your anaesthetist.
What sensation comes back first after spinal anesthesia?
Results obtained indicate that the sequence of return of neurological activity following tetracaine subarachnoid block is sympathetic nervous system activity, pinprick sensation , somatic motor function followed by proprioception in the feet.
How long after spinal anesthesia can you walk?
The effect usually takes between 2 and 4 hours to wear off, depending on the dose your procedure required. When can I go home? Before you go home the spinal anaesthetic must have completely worn off. This means you should be able to walk and move about as you do normally .
Are you put to sleep for a discectomy?
Here is an example of what you might expect: You will receive a local anesthetic so that you won’t feel any pain or discomfort during the procedure. And you will still be awake. Or you may have general anesthesia and sleep through the procedure .
Can spinal anesthesia cause nerve damage?
The needle or epidural tube can damage nerves, but this is uncommon . Nerve damage can cause loss of feeling or movement in parts of your lower body. The most common symptom is a small, numb area with normal movement and strength. This usually gets better after a few days or weeks, but can sometimes take months.
Where is the spinal anesthesia injected?
Spinal anesthesia is a neuraxial anesthesia technique in which local anesthetic is placed directly in the intrathecal space (subarachnoid space) . The subarachnoid space houses sterile cerebrospinal fluid (CSF), the clear fluid that bathes the brain and spinal cord.
What does spinal anesthesia feel like?
Most patients do not feel anything other than a warm sensation in their legs or buttocks as the spinal anaesthetic takes effect. Occasionally, pins and needles or an electric sensation may be felt as the spinal needle brushes next to a nerve.
