General fitness, health and nutrition · Public discussion

Full surgey v Stenting

Started by Dave C · · Last activity · 3 posts · 262 views

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General fitness, health and nutrition
Published
29 August 2003
Last activity
31 August 2003
Original author
Dave C
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  1. I have a 4.8 cm infra renal aortic aneurysm. Next week I am seeing a
    vascular Consultant. I understand that this surgeon does not use the
    endovascular technique, which worries me somewhat for the following
    resons
    1 Because of some serious poisoning with Organo Phosphates a few years
    back with considerable nerve damage I have been advised not to have a
    general anaesthetic. I had a hernia done 2 years back under local
    anaesthetic given by an anaesthetisit that was aware of the problems I
    might have because of the OP's.That anaesthetist has now left the
    hospital.
    2 .I feel that stenting would be much much safer and far less
    expensive. Is this so ?
    3. Is stenting done under local anaesthetic ?
    4. What are the criteria for deciding if a patient is suitable for
    stenting?
    5. Is stenting regarded as, for the want of a better expression, as
    safe and reliable nowadays

    Can anyone give me some advice on what to do or what to ask for, I am
    getting rather worried

    Ps All this is under the UK's National Health Service and I am not
    sure what rights I have to ask for a stent should it be suitable for
    me.

  2. "Dave C" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    1 Because of some serious poisoning with Organo Phosphates a few years
    back with considerable nerve damage I have been advised not to have a
    general anaesthetic. I had a hernia done 2 years back under local
    anaesthetic given by an anaesthetisit that was aware of the problems I
    might have because of the OP's.That anaesthetist has now left the
    hospital.

    Anaesthetists are pretty cluey about the different anaesthesia methods. I
    wouldn't worry about this. Mention it of course.

    Quoted message said:

    2 .I feel that stenting would be much much safer and far less
    expensive. Is this so ?

    I thought you were from the UK... it's not going to cost you anything.

    Quoted message said:

    3. Is stenting done under local anaesthetic ?

    You'd need a bit more than a local anaesthetic.

    Quoted message said:

    5. Is stenting regarded as, for the want of a better expression, as
    safe and reliable nowadays

    Yes.

    Quoted message said:

    Can anyone give me some advice on what to do or what to ask for, I am
    getting rather worried

    These are good questions to ask the surgeon. You should also mention to him
    that you want to consider endoluminal repair; he shouldn't be offended.

    Quoted message said:

    Ps All this is under the UK's National Health Service and I am not
    sure what rights I have to ask for a stent should it be suitable for
    me.

    You certainly have the right to have input into your surgery. The doctors
    will consider any reasonable concerns and desires that you have. A patient
    that I know of died on Sunday because she had a 10cm AAA and didn't want it
    repaired.

  3. Dave C said:


    2 .I feel that stenting would be much much safer and far less
    expensive. Is this so ?
    3. Is stenting done under local anaesthetic ?
    4. What are the criteria for deciding if a patient is suitable for
    stenting?
    5. Is stenting regarded as, for the want of a better expression, as
    safe and reliable nowadays

    I cannot comment on the comments at the beginning of your message.


    Just wanted to say that you can ask what you like. In fact, the moe
    questions, the better. I'm in the UK too and I look everything up on
    the Internet. Use Google and enter something like "stenting+patient
    suitability" or, "ditto+advantages" or "disadvantages". I was in a
    Manchester hospital recently having a pacemaker fitted and people were
    coming and going all day having stents done. I chatted to a lot of
    them soon after thir procedures and definitely got the impression they
    did not have GAs. They went hom after one night. I told the consultant
    doing my PM that I wanted plenty of sedation (due to a bad experience
    with an angiogram). He was very good and agreed to up it if I let
    them know when. Good luck Best wishes Diana
    PS Write down all your questions.

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