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 (4)
General anesthesia with tummy tuck - hypertension danger?
That being said, well-controlled high blood pressure should equate a minimal increased risk for the above and surgical procedures still safe and a reasonable decision. You should ensure adequate blood pressure control always, but also obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. For elective or aesthetic procedures, your surgeon may want to get you to a baseline level prior to consideration for a procedure. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Also, discuss this with your anesthesiologist as proper monitoring and medications will be watched closely. This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result! Hope that this helps! Best wishes!
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.
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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.