Medical Forum / Diseases and Disorders / Prostate Cancer / December 2004
Robotic Prostate Surgery
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Howard and Hope - 13 Dec 2004 03:43 GMT How do they position you on the table? I heard head down, feet up with knees bent and legs hanging off table??? Do they give you some kinda anti blood clotting meds? How about those special boots they put around your legs? Whats the anestisia like? Thanks..Howie
ButtercupsDad@dog.net - 13 Dec 2004 16:32 GMT I had RRP, no laparoscopic and no robots. I understand that the position on the operating room table is awkward to say the least, but I sure was never aware of anything, and I am glad to report no problems afterwards. Some have had back pain, etc.
Do not know for sure about anti clotting medications, but they sure were concerned about that kind of thing where I had my surgery. One of the sections on the informed consent form I had to sign addressed that very thing. I did have the boots while I was still in the hospital, which was only a day and a half. They sent me home with the hose for this purpose and I did wear them for a couple weeks or so.
I had no problem that I know of with the anesthesia. I do suffer from fatigue 16 months post op, but who knows what is causing that? It took me a long time to come out of the anesthesia, I had general, but I do not know if the time was normal or not.
Good luck to you. Don't worry about the surgery. With having the robot you should be back at home before you know it, and with luck your doc will pull the catheter in 7 days. I had the Foley catheter for three full weeks.
Thank you. David S.
>--WebTV-Mail-20223-2019 >Content-Type: Text/Plain; Charset=US-ASCII [quoted text clipped - 15 lines] > >--WebTV-Mail-20223-2019-- c palmer - 13 Dec 2004 18:30 GMT i never talked to the surgeon about the position they had me in, but i do know that the operating table is made in two pieces that can be made for form a rise in the middle so as to bring the patient up closer to the surgeon.
they did not give me any blood thinners because i had loss so much blood in surgery. they said that i was almost at the point that i needed a transfusion but didn't get it. the low blood level acts also as blood thinner they said.
the boots are nice. they put them on me and they would pump up and deflate. felt like you were getting a massage. no complaints at all. wish i had them at home.
the anesthesia in my case is simple. they had me in the staging area. we were only about 20 feet from the operating doors. the lady there got my IV set up and had a syringe filled with something just hanging there to be injected. i said is that my "happy juice" she said, "yeah, that's your happy juice" we talked for about 10 minutes and they said they were ready for me and she injected it into the IV. i ask what's it like when it hits. she said you will start to get a buzz like when you are drinking. as she pushed me toward the doors, i said, "yeah, i'm starting to feel the effects" and i remembered never making it to those operating doors, so it worked fast.
~ curtis
knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." http://community.webtv.net/PALMER_ENT/doc
smu53@aol.com - 14 Dec 2004 00:01 GMT My encounter with the robot was in Feb 2004. All I remember from the OR was talking to my doctor. He smiled, then I woke up in the recoveryroom. It seemed as fast as changing the station on a TV. Felt like I could have gone home the same day. I havd some pain medication in recovery, but didn't need anything after that. My doctor told me the position is legs appart, knees bent a little, arms at the side, entire body tipped head down at about 45 degrees. They put on lots of padding to protect you from pressure at places where bones stick out. There are lots of restraints to keep you in place. Steve
judamd@aol.com - 13 Dec 2004 23:59 GMT Surgery 17 months ago. Yup, you're on your back with head and feet below your belly. A few guys notice some aches and stiffness later but nothing major. I was given some happy juice in the pre-op room before going into surgery. I don't remember a thing from that point on even though my wife said I was talking a storm and joking with the staff, etc. as I was wheeled into surgery. I had planned to say something clever upon awaking in recovery such as looking into the nurse's eyes and saying something like "look, an angel - I've died and gone to heaven". Well, that didn't happen. I was so out of it and in misery that nothing clever came to mind for quite some time. Eventually wheeled to my room after taking about 3 hours to warm up in recovery - some reaction to the anesthetic the doc thought but what does he know. He had to say something. Had the leg pumps to prevent clots. They made a compressor noise and squeezed once a minute for about 10 seconds. Pretty comfortable except when trying to go to sleep. Just as I was noding off, the pump would go on and there I was, awake again. After a few minutes though I drifted off and didn't know they were there. Stayed two nights in the hospital although could have gone home after one night. Had a bladder spasm the second night which was pretty intense at the time but it's all a distant memory now. Catheter came out after 10 days, the number of days seems kind of random depending on the surgeon. Seems like I recall someone with cath out after 3 days and others as long as three weeks. No matter, you learn to live with it. My doc never mentioned to me not to drive. I did drive with no problems from about the 3rd day although I had laparoscopic surgery which may have made a difference. Unless you're terribly uncoordinated with the catheter I can't see how the catheter can impede driving. Of course you could have a breakdown and have to walk a few miles for assistance toting your bag full of cranberry juice.
Anyway, it's all a distant memory for me now except for two reminders - still a pad/day more or less and a very sad little Willie. Dave Perry
> How do they position you on the table? I heard head down, feet up with > knees bent and legs hanging off table??? Do they give you some kinda > anti blood clotting meds? How about those special boots they put around > your legs? Whats the anestisia like? Thanks..Howie > > "HAPPY HOLIDAYS" Howard and Hope - 14 Dec 2004 02:17 GMT Alan Meyer - 14 Dec 2004 23:04 GMT > ... Whats the anestisia like? With my HDR procedure they stuck an IV needle in the back of my hand. That was the only disagreeable part. After that, they injected the anaesthesia into the IV tube, I was talking to them, and the next thing I knew I was in the recovery room many hours later.
All the nasty parts - the cutting, the tube in the throat, the catheter, the sewing or stapling, etc. all happen without your feeling any pain or being conscious of any of it.
It's hard to imagine what surgery was like before anaesthesia. President John Adams' daughter Abigail had a radical mastectomy in the early 1800's to try to treat her for breast cancer - with no anaesthetics! It's hard even to think about what that must have been like.
Alan
Heather - 14 Dec 2004 23:20 GMT > It's hard to imagine what surgery was like before anaesthesia. > President John Adams' daughter Abigail had a radical mastectomy > in the early 1800's to try to treat her for breast cancer - with > no anaesthetics! It's hard even to think about what that must have > been like. I have an interesting bunch of letters (140 pages to be exact) that I bought in Carlisle, England which were written mostly by my ancestor circa 1800-1823. But some were written to his employer, Lord Lonsdale of Lowther by my ancestor's doctor. He had abdominal surgery for a huge, deep abcess with NO anaesthetic. Shudder!! The doctor comments that he was quite brave.....but he went into detail as to how long and how deep the incision was. He did die some weeks later.....
The man who lives in my ancestor's home in Scotland, where we stayed for a week, is a Senior Paramedic and even he shuddered at the description of the surgery. We had an interesting discussion on what was really the problem, and probable cause of death. Be thankful we were born some 150 years later!!
Heather
c palmer - 15 Dec 2004 01:17 GMT hi heather - you might find this interesting.
when i went on the uss constitution. the navy personnel found out that i was also navy and gave me a "complete" tour of the ship. it was absolutely amazing. from the keel up to the topside.
but when we got to sickbay, there was a door and they said that was the "spirits locker" now most people would ah,ha!!! booze!!! but what it was for was a place to hold body parts of the sailors. you see, this was a fighting ship and involved in wartime operations which included the sawing off of limbs and body parts as needed. it is this locker that held the spirits of these sailors. and they also did it without anaesthetic too.
and bringing this all back on topic. how would one get the prostate out of their body under these conditions. you are certainly going to die if you keep it. radiation was unheard of. and to allow yourself to be opened up without sterile conditions, to snip, and chop out the organ. to sew what they could back together again all without any pain killers and the very good chance of dying from this operation makes one glad we live in their day and age.
~ curtis
knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." http://community.webtv.net/PALMER_ENT/doc
Stephen Jordan - 15 Dec 2004 02:09 GMT On December 14, c palmer wrote, in pertinent part:
> ......................................how would one get the prostate out > of their body under these conditions. you are certainly going to die if [quoted text clipped - 3 lines] > and the very good chance of dying from this operation makes one glad we > live in their day and age. The first known prostatectomy was performed in Tucson, Territory of Arizona, in 1891.
The medic was George Goodfellow. He used the transperineal method.
Goodfellow (what a name!) taught the procedure to, among others, Hugh Young at Johns Hopkins (hello Dr. Walsh!). Young published the first paper on the procedure in 1904, having modified it to some extent.
In 1947, British surgeon Terence Millin published the first report on the retropubic approach.
Regards,
Steve J __ "Always do right. This will gratify some people & astonish the rest." -- Mark Twain, "Advice to Youth"
ButtercupsDad@dog.net - 15 Dec 2004 12:42 GMT >hi heather - you might find this interesting. > [quoted text clipped - 9 lines] >that held the spirits of these sailors. and they also did it without >anaesthetic too. I tried to have a cavity filled without anesthetic one time. I about went through the ceiling. No more of that macho stuff for me! When I was young I worked at a hospital that was in a rural community. The administrator told me one time that in the old days they just buried amputated limbs on the hospital grounds. That practice ceased one day when a dog came around carrying a human leg bone.
Debbie Trujillo - 15 Dec 2004 15:50 GMT On 12/15/04 4:42 AM, in article 41c0301d.74367164@news.duke.edu,
>> hi heather - you might find this interesting. >> [quoted text clipped - 17 lines] > practice ceased one day when a dog came around carrying a human leg > bone. I used to date an attorney who said he saved money by not having them use the Novocain when they worked on his teeth. He may have been pulling my leg. I repeated that to my dentist, and he couldn't believe it.
 Signature Debbie Trujillo
Please visit my website at http://mysite.verizon.net/res21yh8/index.html
ButtercupsDad@dog.net - 15 Dec 2004 12:45 GMT Heather: With letters that old, was it hard to read them or were they similar enough to current English that you could make sense of it all? Thank you. David S.
>I have an interesting bunch of letters (140 pages to be exact) that I bought >in Carlisle, England which were written mostly by my ancestor circa >1800-1823. <snip> >Heather Heather - 15 Dec 2004 19:43 GMT Hi Dave......
These were easy (to me) as the writing is very similar to current English letters and words......except for the way they wrote a double ess. My ancestor was John Bowness and it is written as "Bownefs"......first S being what we call the 'long ess'. The Wills are also easy for me, because I typed them for 20 years and they hadn't changed the format for some 500 years until recently.
My research is now back to the early 1700's in England and Jamaica. And as a hobby/challenge, I taught myself how to read 'court hand' which was the incomprehensible writing of the day in the 1500's. That takes hours and hours to figure out.
I have a devil of a time with early Spanish in Jamaica because it is quite different than Ron's Castilian Spanish, and the priests were lousy writers as well. But I have a friend in Costa Rica that just translated an 1804 *Figueroa* Burial Certificate for me and I discovered yet another "outside child".......as they say in Jamaica. In England, they are called 'base born' or just plain 'bastard'.....grin.
I now have 4 *Jose Maria Figueroas* arriving in Jamaica at the same time......from Galicia, Spain and Cartagena, Colombia.....they will likely turn out to be all the same man, or possibly two with the same name. As Danny knows, this can be a frustrating hobby at times, grin.
Cheers......Ron and Heather (Figueroa)
> Heather: > With letters that old, was it hard to read them or were they [quoted text clipped - 6 lines] > >1800-1823. <snip> > >Heather ButtercupsDad@dog.net - 16 Dec 2004 13:57 GMT That is facinating!
>Hi Dave...... > [quoted text clipped - 23 lines] > >Cheers......Ron and Heather (Figueroa) Robert Austin - 16 Dec 2004 05:26 GMT <Snip>
>It's hard to imagine what surgery was like before anaesthesia. >President John Adams' daughter Abigail had a radical mastectomy >in the early 1800's to try to treat her for breast cancer - with >no anaesthetics! It's hard even to think about what that must have >been like.> > Alan <Snip>
We had and old timer in our community that I admired and respected. He told me about a time when a "Traveling Dentist" came down the road with a pack on his back.
He said his mother sat in a straight chair on the front porch and the dentist pulled every tooth she had, that there was teeth all over the porch when he finished.
My dentist cringed when I related the story to him.
We may have Pca but we sure have a lot to be thankful for.
Bob Austin
Bob Austin
Age 75 PSA 7 Free PSA 12 1st round of biopsies clear, 2nd. 2 positives Gleason 9 Cryosurgery 03/11/03 Post Op PSA's 0.4 6 Months 0.1 9 Months 0.2 15 Months 0.21
robertbob.austin@NoSpamearthlink.net
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