Confused about what kind of Anesthesia to use for a lumpectomy?

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scorp1111
scorp1111 Member Posts: 27

I have read some strong evidence NOT to use General anesthesia for my lumpectomy surgery scheduled for 3/24... It has been shown that general anesthesia followed by morphine drip can significantly reduce the NK cell activity (Natural killer cells are a type of white blood cell tasked with seeking out and destroying cancer cells)... Has anyone had regional anesthesia (paravertebral block) or another kind of anesthesia?  You can also test prior to surgery your NK cell activity...(might not be covered by insurance, ugh)

 Thanks for sharing any information about anesthesia for a lumpectomy.... 

Will be posting a separate thread on supplements to take PRIOR to surgery that can help with not spreading the cancer...Eg.. Surgery increases Cancer cell adhesion/Modified Citrus Pectin prevents cancer cells from sticking together and forming a cluster... Personally i feel if the supplement is benign (no side effects) why not try it if there is enough compelling evidence... 

You can obtain a free copy of the report by logging on to :  www.lef.org/cancersurgery or calling 1800 841 5433... 

Comments

  • Claire_in_Seattle
    Claire_in_Seattle Member Posts: 4,570
    edited March 2010

    "General anesthesia" is a lot different than it used to be and can mean a number of different things.  Basically I had a combo of propofol and another agent which left my body very quickly, and did not require morphine at all.  This was for a lumpectomy, axillary node dissection, and insertion of a port.....a lot more than I think you will be having done.

    I was just fine the next day to the point of doing a two mile walk.

    My focus prior to surgery was making sure I was as strong as possible going in as opposed to specific anti-cancer supplements.

    If really just a minor incision, they might use propofol alone, with the experience being similar to a colonoscopy (minus the ghastly prep).  Before you freak about the drug that killed Michael Jackson, remember that he wasn't being properly monitored, and it's not a sleep aid.  It is very useful where only light sedation is required.

  • dsj
    dsj Member Posts: 277
    edited March 2010

    I had GA too for a lumpectomy, but I don't think it was very strong as I woke up pretty quickly after and felt fine.  I definitely didn't need morphine though.  I took one of the vicadins the surgeon prescribed just to "stay ahead of the pain."  But the pain never really came, so I haven't taken anything since.  My only problem right now is itching in the area.  I had the same thing when I had the stereotactic biopsy, so that must be the way my body reacts.

  • cary1
    cary1 Member Posts: 372
    edited March 2010

    I had general anesthesia for my lumpectomy around a year ago. The surgeon didn't really give me a choice, mainly because they were going to be doing a sentinel node biopsy and might have been removing more nodes. I found the anesthesia the worst part of the aftermath of surgery. I hated the feeling of disorientation and not being fully in control when I woke up, but then I wasn't spending the night at the hospital, so there was some added anxiety of being together enough to leave.

    For the re-excision to get clear margins, which happened a month later, I just had "twilight sleep," which I liked SO much more. This time when I was awake again, I felt totally normal.

     So bottom line, while I hated GA, I would do what the surgeon recommends. 

  • sheila888
    sheila888 Member Posts: 25,634
    edited March 2010

    I had the same procedures as cary. But no SE from Anesthesia at all.

    Good Luck to you.

    Sheila

  • hmr
    hmr Member Posts: 26
    edited March 2010

    FWIW, my mother had GA for her first lumpectomy. She was in recovery for several hours sick ( nauseated ) and disoriented. For her second lumpectomy ( re-incision ) they gave her MAC. She had no problems, recovered right away and came home.

    Good luck !

  • Suembala
    Suembala Member Posts: 18
    edited March 2010

    Prior to my lumpectomy the anesthesiologist gave me several pills.  One was an anti-nausea drug and another was Prevacid, along with an anti-anxiety med.  Then I had the same sedation as used for a colonoscopy and I was fine upon waking. I actually don't remember being wheeled from the ambulatory surgery cubicle into surgery that's how quickly the IV injection took affect. I should say that I didn't have a SNB and this surely influenced the type of sedation I had.  For me, I found that feeling comfortable with my anesthesiologist and surgeon and trusting them was key to my experience being positive.  Here's a link to a list of questions to ask your anesthesiologist which might be helpful and perhaps reassure you a little bit. www.asahq.org/patientEducation/otherfaqs.htm One fear I had was that the anesthesiologist might leave the OR or something!

    Hoping you'll feel peace about whatever you decide.

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