Dupytrens operation; local or general anaesthetic | Forum Archive 1 | Forum for Dupuytren and Ledderhose Disease

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Dupytrens operation; local or general anaesthetic
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16.06.02 02:43
Tony Austin

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16.06.02 02:43
Tony Austin

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Dupytrens operation; local or general anaesthetic

Hi, I have had DP for years now and am about to have my third op on my hands. The thing is that I always have a terrible reaction to the anaesthetic and heard recently that in the US it was normal for hand DP ops to be done under local rather than the full knockout. Is this correct? Has anyone had just a local for DP?

31.07.02 02:52
Dorothy

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31.07.02 02:52
Dorothy

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Local anesthesia

Hi, I am new to this, having just found out 2 weeks ago that I have Dupuytren's in my right hand, and I am scheduled for surgery Aug 13th under general anesthesia.
The doc said there is no need for me to be put to sleep. It will be done in the hospital in the operating room, I will be given something to make me not tense, but I will be awake. I will go home the same day. Well, I will see how it goes.

01.08.02 02:39
Gary Evans

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01.08.02 02:39
Gary Evans

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Dupuytrens operation;local or general

Dorothy,
I think it is personal preference. I was given a general and I thought it was great, others prefer a local. I was out and then 2 hrs. went by like it was 10 seconds. I woke up, layed around for 1/2 hr. and then my wife drove me home. I took three advil on the way home and then two every four to six hours for another day. Never had any pain and didn't need the pain pills that were prescribed.
Make sure surgeon is very experienced with DC.

Good luck,
Gary

01.08.02 02:55
Eddie 
01.08.02 02:55
Eddie 
local or general anaesthetic

Like Gary says, it is (mainly) a personal choice.
I let my surgeon and the anaesthesist decide what to do.
In general I would think it is always better (safer?) to avoid general anaesthetic. There is always a 'very small' risk.
So I had a local (nerve block). However, my body seemed to react adversely, had kind of a grand mal (never knew I had it in me), so a semi-general (?) was applied. I was never completely out during the surgery, which took about 3 hours.
Completely awake one hour later. No side effects from the anaesthetia.

02.08.02 02:12
martin

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02.08.02 02:12
martin

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Hopefully local only.......

Hi,

I had a block and sedative, so was semi-conscious during the 2 hr op. An hour later I was up and had absolutely no side effects, very little pain, did not need the pain killers prescribed. Would really recommend this, but, as others have said, this is personal.

Martin

18.08.02 02:54
Bret

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18.08.02 02:54
Bret

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Hopefully local only.......

I'm hoping to have the surgery under LOCAL ONLY...but I worry about my epilepsy. I noticed someone else had a "semi-grand-mal", but I've had so many FULL grand mal seizures, that doesn't scare me...and I'd like to watch the surgery, too. (Former nursing student here.)

Just need to know if the pain afterwards is severe, or just a slow throb. (The slow throb would be an improvement for me at the moment.)

19.08.02 02:01
Eddie 
19.08.02 02:01
Eddie 
Pain

Brett,
"Pain" is very subjective.
In my case (rather severe cutting) I 'had to' take paracetamol twice in the first 24 hours. Didn't need anything afterwards.

19.08.02 02:56
JERRY 
19.08.02 02:56
JERRY 
Pain after surgery

No major pain after surgery. They coerced me into taking a pain killer: took that one and nothing thereafter.

19.08.02 02:08
Bret

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19.08.02 02:08
Bret

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Dupuytrens operation; local or general

Hey guys! (Jerry & Eddie specifically):

Thanks for your input. I asked about pain because I'm a self-confessed wimp when it comes to pain. (Heck, I need novocaine to have my teeth cleaned!)

I forgot to ask about recurrence after surgery, and NOW, how long ago were your surgeries.

Thanks so much...I'm hoping that surgery (which I believe will be relatively extensive), will allow me to return to the full-time, productive workforce.

Please feel free to Email me directly, so we can discuss this in greater detail.

THANKS!

19.08.02 02:28
Gary Evans

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19.08.02 02:28
Gary Evans

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Dupuytrens operation; local or general

Bret,
Without a doubt, the biggest surprise of my surgery (90 degrees, little finger) was that there was almost no pain. Actually none, because I took three advil on my way home and two every 4-6 hours after surgery. I didn't have to take the pain pills the Dr. prescribed. My surgeon also said that was a response he got from most all of his patients. To look at the operation, one would think that it should hurt. I looked at all of the pictures prior to surgery and was naturally apprehensive. I was driving after about 3 days. The night time splint is important.

Good luck,
Gary

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