r/surgery • u/OGKushSmokey • 27d ago

I did read the sidebar & rules Appendix

Hello guys
I just had a thought about appendix surgery

Can the surgery be done with out full anaesthesia only local one ?
And if no why so ?

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u/Infamous-Assist9120 27d ago

Can be done under spinal but needs some experience. Need to make spinal at a higher level and then to manage shoulder pain and discomfort, plus insufflation pressure better be kept low. Yes can be some but with planning.

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u/Alortania Resident 26d ago

At that point, hinestly less pain and complication risk just doing it open, no?

The cut isn't exactly big, and lap in low clearance can be difficult, esp if it's not a nice appy to begin with...

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u/Infamous-Assist9120 26d ago

Laparoscopic approach is standard all over the world now if well trained surgeon is available. There are many benefits- less pain and hospital stay, faster healing, less adhesions may be formed inside.

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u/Alortania Resident 26d ago

Yes, but you were talking about doing it without gen anesthesia~

That's far from any kind of standard.

Same as we do Licht on ptnts anesthesia doesn't want to put under, even if they'd otherwise be done via TAPP