My main concern is anesthesia, afer each baby my BP shot up to 191/110. What is the danger when someone has hypertension and anesthesia? What are the other options as far as anesthesia for a tummy tuck? I rather not go under general for 5 hours.
General Anesthesia with Tummy Tuck, Hypertension Danger?
Doctor Answers (3)
Recognized hypertension is not a contraindication to General Anesthesia
The answer to your question will in part depend on whether your hypertension is a chronic condition or occurred as an isolated incident associated with the anesthesia during the deliveries of your children. If you are chronically hypertensive then you must be placed on medications prior to surgery to control the hypertension. Once the hypertension is under control this will help to maintain a normal blood pressure both during and after the anesthesia for a Tummy Tuck.
If your blood pressure is normal except during general anesthesia then your anesthetist, informed of this, can adjust your pressure during your Tummy Tuck. Recognized hypertension is not an impediment to undergoing general anesthesia which is the most appropriate form of anesthesia for a Tummy Tuck. For your knowledge, an uncomplicated Tummy Tuck usually takes 2.5 to 3 hours to perform.
General anesthesia for Tummy Tuck
Not only is general anesthesia much safer for someone like you, it is also the most appropriate for an abdominoplasty. Because of the length of the surgery, you definitely want to be totally out. Local anesthetic methods do not work well and other methods using spinal or epidural anesthesia are unsafe because you need to anesthetize so high on the body. These methods also allow unpredictable dilatation of the peripheral veins. This can increase the risk of postoperative leg vein blood clots that can go to the lungs and make it harder to control your blood pressure.
General anesthesia a good choice for tummy tuck
A tummy tuck is a fairly big operation and it is difficult to ensure the patient's comfort with other forms of anesthesia. The good news is that the anesthesia provider will be with you constantly to monitor all your vital signs and deal with any problems instantly. It can be done with an epidural and IV sedation but general is usually the better choice. Five hours sounds to me like a long time for a tummy tuck, typically 2-1/2 or 3 for routine cases.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.