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What type of anesthesia ?
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12/20/2012 18:00
wach 

Administrator

12/20/2012 18:00
wach 

Administrator

Re: What type of anesthesia ?

As important as the type of incision is probably the skill of the surgeon. The outcome also depends on the specific Dupuytren's situation and there is still some amount of unpredictability. Surgery, performed by a good hand surgeon, is definitely a good option. Just as a caveat, for some patients, though not for many, surgery might trigger disease extension into other areas. id that happens, radiotherapy might help to calm that down.

Like callie I did mostly my own exercise, the surgeon had no problem with it and the outcome was good. After 12 years I have still no recurrence there. Different to callie my surgery was a little painful, my hand staid swollen for quite a few months and it took me about 6 months until I could fully use my hand again. But I don't think that's typical, it's more an the unlucky side. Also my hand never became the same as before, I still feel a little "blocked" where my palm was cut.But that's not an issue, I got used to it.

Wolfgang

Schumy:
Great!!! I've read some nasty posts lately, specifically about the Z surgery. Are you able to use your hand (strength, flexibility) as it was before Dupuytren? I know you need a rather long therapy after surgery (3 months aprox), is it painful?

I'm still on the very early stages on my left hand, but it has hampered my lifestyle since I enjoy doing all sort of exercises (specifically weight lifting).

I'm extremely happy you read some good news!

12/20/2012 20:23
Seph 
12/20/2012 20:23
Seph 

Re: What type of anesthesia ?

Schumy:
Great!!! I've read some nasty posts lately, specifically about the Z surgery. Are you able to use your hand (strength, flexibility) as it was before Dupuytren? I know you need a rather long therapy after surgery (3 months aprox), is it painful?

I'm still on the very early stages on my left hand, but it has hampered my lifestyle since I enjoy doing all sort of exercises (specifically weight lifting).

I'm extremely happy you read some good news!
schumy; I have had surgery and NA. Neither has restricted my ability to play sport or work out in the gym. Specifically no problems with weight lifting although it does cause me to develop calluses where the bar rubs on DD nodules - makes my hands look like I do physical work for a living. I also had problems with push ups but I fixed that by using dumbbells as a hand rest (some gyms have a special frame for this anyway).

12/20/2012 21:29
smallgamehunter 
12/20/2012 21:29
smallgamehunter 
Re: What type of anesthesia ?

Glad to read a lot of stories. But I originally asked that type of med they used for anesthesia .

12/20/2012 22:17
Schumy 
12/20/2012 22:17
Schumy 
Re: What type of anesthesia ?

Thank you all for your kind responses!!!

Sorry small, I know all my questions diverted your position (and the subject of the current forum). As I said before, I'm on the very early stages and still have a lot to learn about it, so got excited reading callie's answer...

Fondest regards!

12/20/2012 22:40
Seph 
12/20/2012 22:40
Seph 

Re: What type of anesthesia ?

smallgamehunter:
Glad to read a lot of stories. But I originally asked that type of med they used for anesthesia .
Sorry but I don't know what anesthetic was used. I have no allergies so I took no interest. All I know is that it was very local and the doctor wanted to be certain that I was not diabetic as she said the drug would not be suitable if I was.

12/21/2012 01:33
callie 
12/21/2012 01:33
callie 
Re: What type of anesthesia ?

I just read my report from eleven years ago:

OPERATION: Partial palmer and digital fasciectomy.

PROCEDURE: The patient was taken to surgery, and general anesthesia was administered. The arm was prepped and draped in the usual sterile fashion. After exsanguination, the tourniquet was inflated.

A zigzag incision was made along the palmer aspect of the palm and extended out to the finger, and the skin flaps were raised in a zigzag fashion. The fascia was released from the transverse carpal ligament, and then the proper and common digital nerves were identified and protected. The fascia was removed, tourniquet let down, and hemostasis obtained.

The skin was closed with 4-0 nylon, sterile compressive dressings were applied, and the patient taken to the recovery room in stable condition.

12/21/2012 02:05
smallgamehunter 
12/21/2012 02:05
smallgamehunter 
Re: What type of anesthesia ?

Were you overnight or same day ?

12/21/2012 02:56
callie 
12/21/2012 02:56
callie 
Re: What type of anesthesia ?

I was on my way home about 4 hrs. after I showed up. It was the fastest 4 hrs. of my life (it seemed). My wife drove me home. They didn't want me to drive right after having the anesthesia.

12/28/2012 13:33
CharlieK 
12/28/2012 13:33
CharlieK 
Re: What type of anesthesia ?

My surgeon gave me the option of general anesthesia or a block. I chose the block and feel in hindsight it was the better decision. Pre-op they started an IV and gave me something to relax and the anesthesiologist came in and injected the anesthetic in my arm pit. This was not painful at all.

I was then further sedated during most of the procedure but do remember the last 20 minutes or so. Never any pain though. As soon as the procedure was done I was wheeled back to a room to put my clothes on and from there I was wheeled out the front door and went home.

The block is supposed to last approximately 12-24 hours. Mine lasted for 6 hours. And with your whole arm numb, you will need a sling to immobilize it. Since you can't feel your arm you have no control over its movement and it tends to just flop around if not in a sling.

01/14/2013 17:31
zinkadoodle 
01/14/2013 17:31
zinkadoodle 
Re: What type of anesthesia ?

My experience is similar to Callie's. I had open surgery on my palm to remove the diseased fascia about 10 years ago. It's now as good as if I never had DC. The only evidence of it is the scar, which is a big V from my middle finger down to a point at the bottom of my palm and back up to the base of my ring finger. No problems whatsoever now.

For the surgery, I was given sedation along with a total arm block, wherein they put a tourniquet on my arm to prevent blood loss and administer the block. I fell asleep from the sedation, but woke up in the middle of the surgery. I felt nothing. The doc was talking about how well his lasix eye surgery was, and I commented that this really isn't the best conversation for a surgeon who is operating on an awake patient. hehehe......

Post surgery was kind of painful for me. I took vicadin for about one week, but mostly at night, just so I could sleep. After that, I didn't need it. I wore the splint on and off during the day for a couple of weeks, then only at night for a number of months. I hated when the sutures were removed. I hated when they cleaned out the bit of infection at one location just at the base of my ring finger. But, it was doable.

I am thinking about Xiaflex now on my right hand because it is my understanding that they, and us try to avoid surgery and only use it as a last resort. When I had the surgery, it was the only option. I'm not looking forward to it. The thought of needles going into my hand make me break out into a sweat. I discussed this with my doc, and I am going to ask her for valium for both days of the procedure. I had valium when I had surgery to repair a ruptured ligament in my right thumb about 30 years ago. It was great. I could care less what the did to my thumb when I was under the influence of that stuff. That's the only time I've ever taken it. I want it for this.

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surgery   painful   anesthesiologist   understanding   anesthesia   tourniquet   unpredictability   smallgamehunter   contracture   surgeon   Dupuytren   flexibility   radiotherapy   specifically   approximately   exsanguination   aggressively   administered   procedure   conversation