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Old 03-27-2009, 10:41 AM
 
350 posts, read 3,429,194 times
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I'm scheduled for an open (excisional) breast biopsy (breast lump removal) and it's planned with IV sedation and local anesthetic.

I am terrified of this procedure, but what I'm really terrified of is the IV sedation. I got my wisdom teeth out with just local a few years ago and it was completely fine. I really do not want IV sedation. I'm wondering if anyone has ever had a breast lump completely excised with just local.

My lump is palpable and I think it's superficial--I can easily feel it with the lightest touch.
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Old 03-27-2009, 12:48 PM
 
Location: Moon Over Palmettos
5,975 posts, read 17,139,378 times
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Quote:
Originally Posted by kibblesandbits View Post
I'm scheduled for an open (excisional) breast biopsy (breast lump removal) and it's planned with IV sedation and local anesthetic.

I am terrified of this procedure, but what I'm really terrified of is the IV sedation. I got my wisdom teeth out with just local a few years ago and it was completely fine. I really do not want IV sedation. I'm wondering if anyone has ever had a breast lump completely excised with just local.

My lump is palpable and I think it's superficial--I can easily feel it with the lightest touch.
Breast tissue is dense with nerve endings. A local in this area is uncomfortable enough as it is. Take that IV and you'll feel much better.
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Old 03-27-2009, 12:58 PM
 
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I have been so worried about the IV sedation that I haven't been able to eat or sleep normally since the surgery was scheduled. I'm a mess. I can't concentrate on anything, I have nightmares about it. I have never been so stressed out or terrified of anything compared to this breast lump removal. These last couple weeks have been awful.

I would feel so much better if someone had a positive story about getting it out with just local.
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Old 03-27-2009, 02:13 PM
 
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From what I have read, a lump can be removed with a local only. Sometimes you are given a sedative to relax you also. I do not believe you must have a general anesthetic.

You need to discuss this with your doctor. Advise them you only want a local and mild sedation to relax you. If they say no, I would want to know why.

The Mayo Clinic will use local only:

Suspicious Breast Lumps Diagnosis - Mayo Clinic
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Old 03-27-2009, 02:22 PM
 
Location: Denver
109 posts, read 199,460 times
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I had a fibroadenoma removed a few months ago and the anesthesia was my main concern also. When i brought my wish of having local anesthesia only up with my doctor she told me that she would use general anesthesia because it would be more comfortable for me and easier for her. Guess it depends on the doctor.
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Old 03-27-2009, 04:43 PM
 
350 posts, read 3,429,194 times
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Quote:
Originally Posted by Dahlila View Post
I had a fibroadenoma removed a few months ago and the anesthesia was my main concern also. When i brought my wish of having local anesthesia only up with my doctor she told me that she would use general anesthesia because it would be more comfortable for me and easier for her. Guess it depends on the doctor.
How did it go for you with the general? I am terrified of anesthesia. I have nightmares every night. I can't think of anything else but my fear of it. I have never had surgery before, and I am hoping to hear of some comforting stories.
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Old 03-28-2009, 12:05 PM
 
Location: WI
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I've had my share of surgeries: mastectomy, c-section, hysterectomy, ankle surgery. Getting put under is always the scariest part for me. I also have a bad needle phobia.

For me, once the IV is in I'm so relieved! The surgery part never stresses me, nor does thinking about pain or recovery. I've never had any real problem with the anesthesia. I did get physically sick afterwards once (with my mastectomy) but I think that's because they sent me home to soon. After surgery there can be some lingering grogginess but nothing crazy.

I'm sending extra good thoughts and prayers your way.

Dea
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Old 03-28-2009, 12:09 PM
 
Location: Denver
109 posts, read 199,460 times
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Quote:
Originally Posted by kibblesandbits View Post
How did it go for you with the general? I am terrified of anesthesia. I have nightmares every night. I can't think of anything else but my fear of it. I have never had surgery before, and I am hoping to hear of some comforting stories.
It was my first ever surgery too (I'm 17) and i'd have to say it wasn't too bad . I was making jokes in the operating room, fell asleep and woke up in the recovery room without any pain or fear. The only down side was that i was nauseous the entire day, and was sweating chemicals for a few days after. I don't think it will be as scary to you after the surgery, if you see how quick and easy it is.
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Old 03-29-2009, 03:43 PM
 
Location: Catonsville, MD
2,358 posts, read 5,337,228 times
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Many years ago (1984) I had a fibroadenoma removed (excision removal) with just local anaesthesia. It really wasn't too bad at all until I realized I could see what he was doing in the reflection of his surgery glasses. Then my blood pressure plummeted. The surgeon advised I look away . I felt so ok afterwards that I went shopping, however the local began wearing away while in the store. I was pretty sore afterwards, but ice helped.

I also had a core biopsy a few years ago with only local anaesthesia. It also didn't bother me too much.



Best of luck to you!
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Old 03-29-2009, 04:52 PM
 
1,643 posts, read 3,642,496 times
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Quote:
Originally Posted by kibblesandbits View Post
I'm scheduled for an open (excisional) breast biopsy (breast lump removal) and it's planned with IV sedation and local anesthetic.

I am terrified of this procedure, but what I'm really terrified of is the IV sedation. I got my wisdom teeth out with just local a few years ago and it was completely fine. I really do not want IV sedation. I'm wondering if anyone has ever had a breast lump completely excised with just local.

My lump is palpable and I think it's superficial--I can easily feel it with the lightest touch.

I have seen the this done many times with local before and the patients were fine. Talk to your Dr and tell him your concerns. If he/she is not willing to work with you then you night want to look around. ( I work in a hospital)

I personally had a biopsy with local and I was fine, but I will tell you that the breast is very dense tissue and I squeezed the nurses hand to get through it. After it was over, I realized it wasn't that bad. I was just all prepared for the worst.

You will be fine Good luck!
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