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Bunion surgery under local anesthetic, where to find hospital ?

9 replies

Poodler · 24/06/2012 23:17

Where can I find a NHS hospital that will do bunion surgery under local anesthetic instead of a general, in Lincolnshire or nearby, ideally keyhole, but not necessarily.

Can anyone help ?

OP posts:
Ruthchan · 25/06/2012 12:36

Bunion surgery is usually pretty major surgery involving bones being broken and reset.
I doubt whether anyone would do it either by keyhole or with local anesthetic.

Footle · 25/06/2012 12:59

This reply has been deleted

Message withdrawn at poster's request.

orangeflutie · 25/06/2012 13:12

I would have a chat with your podiatrist. Have you been referred to one?

Just wondering why you don't want to have a GA. Have you had a bad reaction in the past?

Poodler · 26/06/2012 21:29

I doubt whether anyone would do it either by keyhole
or with local anesthetic.

Several posts on this site mentions about local anesthetic, one saying how they had theirs done 18 years ago, here is one example:

www.mumsnet.com/Talk/style_and_beauty/778918-Stylish-summer-shoes-for-bunion-sufferers/AllOnOnePage

And here keyhole surgery:

www.dailymail.co.uk/health/article-2052225/Bunion-keyhole-surgery-Until-cure-painful-bone-crunching-surgery.html

I would have a chat with your podiatrist.
Have you been referred to one?

I had one and they told me to see my doctor!

Just wondering why you don't want to have a GA.
Have you had a bad reaction in the past?

No I haven't had a bad reaction in the past, the recovery time for the keyhole surgey seems so much quicker, less risk of death with a local!

OP posts:
Bunbaker · 26/06/2012 23:45

I think it depends on the individual. Both my mum and MIL had bunion surgery, but their bunions were pretty severe and they and the surgery they underwent was pretty drastic and not something the doctors would have done under a local anaesthetic.

You really need to talk to the surgeon who will assess you.

sashh · 27/06/2012 04:37

My dad's hip was replaced with an epidural and madazolan, Would that be an option?

Melty · 08/07/2012 10:39

I've just had quite big surgery bunion related deformities and pain.
I've not been able to weight bear on the balls of my feet for about 2 years, but I kept putting it off because the recovery time is very long. And also I am a coward

Anyway, last week I had fusion of my big toe joint, and osteotomies of 2nd, 3rd and 4th metatarsals with titanium screws.
I had it done under spinal anaesthetic.
I am a bit of a control freak, and really did not want a GA.
I spoke to the anaesthetist, and he was brilliant.
He said yes, he could do spinal, but warned that it is difficult to say how effective it would be, as they would be operating on the farthest tip of my foot, and therefore the farthest nerve endings. So he would see what happened, and if necessary we still had the option of progressing to GA
Within 2-3 minutes my legs were heavy, and although I could feel touch, I couldnt feel much else.
The surgeon tested just before starting, and decided to also do an ankle block.
I felt some pressure and vibrations when they were drilling, but no pain whatsoever.
The op took about 2 hrs. I had a screen up so I couldnt see anything, and the anaesthetist and the ODP stayed and chatted to me all the way through.

It worked for me, but its not suitable for everyone. It is the anaesthetist doing the list who decides whether a general anaesthetic is appropriate or not, and to be fair, genreal anaesthetics are very safe these days.

I am based in London, and my absolutely lovely surgeon is Mr James Calder, a foot and ankle specialist.

Acekicker · 08/07/2012 16:44

Dudley NHS seem to do them - this leaflet talks about using local anaesthesia.

SauvignonBlanche · 08/07/2012 16:48

Your GP can advise you which of your local hospitals can carry out this procedure.
It can be done under a block, you would need to discuss this initially with the surgeon then the anaesthetist.

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