Can I Request General Anesthesia for Hemorrhoid Surgery?

Anesthesia

Hello, Doctor: I have a question to ask you.
I need surgery for my hemorrhoids, but I have been informed that the procedure is done under regional anesthesia, and I am afraid of being on the operating table with regional anesthesia.
Can I request the doctor to use general anesthesia instead? If general anesthesia is used, will it be out-of-pocket expenses? Please respond as soon as possible, as my surgery is in two days.
Thank you!

vivi, 30~39 year old female. Ask Date: 2005/03/21

Dr. Cheng Shuren reply Anesthesiology

Thank you for your letter.
The hemorrhoid surgery here is also performed under regional anesthesia for two reasons: (1) The surgical position is a modified lithotomy position, where the patient is in a semi-kneeling and prone position on the operating table.
The patient needs to be awake to cooperate with turning and positioning, and being prone can significantly affect breathing.
If the patient is not awake, there could be respiratory risks; therefore, during spinal surgeries, we always intubate the patient to maintain airway patency and adequate function.
(2) After the anesthesia wears off, the issues related to the surgical site become a major concern, and regional anesthesia can help address this problem simultaneously.
(3) May God bless you with safety and success! P.S.
Anesthesia does not require out-of-pocket expenses.

Reply Date: 2005/03/21

More Info

When it comes to hemorrhoid surgery, the choice of anesthesia can significantly impact the patient's comfort and the overall surgical experience. Hemorrhoid surgery is commonly performed under regional anesthesia, specifically spinal or epidural anesthesia, which is often referred to as "half-body anesthesia." This method numbs the lower half of the body while allowing the patient to remain awake and aware during the procedure. However, many patients express concerns about being awake during surgery, which is understandable given the sensitive nature of the procedure.

You can certainly request general anesthesia for your hemorrhoid surgery. General anesthesia will render you completely unconscious and unaware of the procedure, which may alleviate your anxiety about being awake during the surgery. However, the decision to use general anesthesia ultimately lies with the anesthesiologist and the surgical team. They will consider several factors, including your medical history, the complexity of the surgery, and any potential risks associated with general anesthesia.

It's important to note that general anesthesia may come with additional risks compared to regional anesthesia, especially for patients with certain medical conditions. For example, if you have respiratory issues, obesity, or other health concerns, the anesthesiologist may advise against general anesthesia. They will conduct a thorough preoperative assessment to determine the safest option for you.

Regarding the cost, whether general anesthesia is covered by insurance or requires out-of-pocket expenses can vary depending on your insurance plan and the specific policies of the surgical facility. It's advisable to check with your healthcare provider or the surgical center regarding the financial aspects of your anesthesia choice. In some cases, if general anesthesia is deemed medically necessary, it may be covered by insurance, but this is not always guaranteed.

In summary, you can request general anesthesia for your hemorrhoid surgery, and it is essential to communicate your concerns with your surgical team. They will provide you with the necessary information and help you make an informed decision that prioritizes your safety and comfort. Remember to discuss any medical history or concerns you may have, as this will aid in determining the most appropriate anesthesia method for your situation.

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