Can a woman receive spinal anesthesia for an ovarian cyst?

Question

Hello doctor,

I have been diagnosed with a 13 cm (5 inches) complex cyst in my left ovary, and have a laparotomy (small 3 to 4 inches vertical incision under my belly button to get rid of ovarian cyst) coming up. I would feel so much better if I could just get a spinal block instead of general anesthesia. I have heard of multiple women getting these with similar surgeries, and I want to know why my surgeon is telling me that a spinal block is not possible. I have a major anxiety about general anesthesia and I know my recovery would be better with a spinal. The tests performed are an ultrasound and a CT scan.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Spinal anesthesia is good for surgeries below the umbilicus, like pelvic surgeries, and ovarian cysts as in your case. But the size of your cyst is large, more than 393 inches. It is a complex cyst (not simple), which would mean the surgeon may have to see other intrabdominal structures also, and may take more time to complete surgery. In addition, you may feel uncomfortable if he has to extend the incision above the umbilicus. So he has advised you for general anesthesia, which is the most reliable option in your case.

I hope this helps.

Please let me know if you need any help.

Thank you.