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Q. Can I get a spinal block for laparotomy instead of general anesthesia?

Answered by
Dr. Yatish Anant Jadhav
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 24, 2018

Hello doctor,

I have been diagnosed with a 13 cm complex cyst in 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 and 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 spinal block is not possible. I have a major anxiety of general anesthesia and I know my recovery would be better with a spinal. The tests performed are an ultrasound and CT scan.

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Hi,

Welcome to icliniq.com.

Spinal anesthesia is good for surgeries below umbilicus eg., pelvic surgeries, and ovarian cyst as in your case. But the size of your cyst is large, more than 10 cm and it is a complex cyst (not simple) which would mean surgeon may have to see other intrabdominal structures also and may take more time to complete surgery, also you may feel uncomfortable if he has to extend incision above the umbilicus. So he has advised you for general anesthesia which is the most reliable option in your case.

For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist


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