Is spinal anesthesia safer than GA for my polypectomy?

Question

Hello doctor,

My gynecologist removed most of the polyp in her office with a local anesthetic and NSAID shot. However, bits are still attached to the uterine wall because she was afraid of puncturing the wall if I moved.

I had a colonoscopy with Propofol and had only had a bit of dizziness when I stood up, but it was gone within a minute or two (I actually could have driven myself home). I had wanted to do without an anesthetic, but the doctor said there was no way to get a local that far up. However, my gynecologist is afraid I could still move under Propofol and wants a general anesthetic. I only get to talk to an anesthesiologist at the hospital where I schedule surgery.

So, I want to find out about perhaps using an epidural or spinal anesthetic. Basically, I want the least amount of anesthetic that will allow me to stay awake but keep my legs from moving. I have a high pain tolerance. So, can I get some thoughts on this?

I am currently taking 50 mcg of Levothyroxine sodium and some vitamin supplements. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Regarding your query, your surgery can be done under spinal or epidural anesthesia. It is a much safer option than general anesthesia. You will be pain-free for hours after surgery. You will be absolutely awake during surgery and will not be able to move your legs even a bit. The only thing is you will not be discharged on the same day of surgery, which is not a big issue.

So in my opinion, unless spinal anesthesia is contraindicated for you, ask your anesthetist if spinal anesthesia is feasible. Do not worry, everything will be fine.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.