Chronic Pelvic Pain, Laparoscopy, and Anesthesia
A laparoscopy may be used to diagnose and possibly treat what is causing chronic pelvic pain, and anesthesia will be used so that you do not feel any pain during the procedure. The two main types of anesthesia used for laparoscopy for chronic pelvic pain include spinal and general. The type you are given will depend on your particular situation.
Anesthesia is used to eliminate the pain felt during a laparoscopy. For a laparoscopy used to diagnose and possibly treat chronic pelvic pain, the two most common types of anesthesia are spinal and general anesthesia. You will be given one of these two types.
With spinal anesthesia for laparoscopy, your anesthesiologist will inject medicine into your lower back. This will cause you to feel numb, usually from the base of your rib cage down. To make the placement of the needle easier, you will be asked to either lie on your side, curled up, or to sit on the side of the table, hunched forward. During the laparoscopy for chronic pelvic pain, you will also receive medicine that makes you feel relaxed or sleepy. Although the spinal anesthesia will take away all sensation of pain, you might still feel some pressure and movement during the laparoscopy.
The other option for laparoscopic surgery is general anesthesia. This type of anesthesia uses medication to put you into a deep sleep so that you do not feel any pain, pressure, or movement during the laparoscopy. In order to do this, you will first be asked to breathe through an oxygen mask. Then you will be given medications through your IV, which will cause you to feel pleasantly relaxed, and you will quickly drift off to sleep. After you are in a deep sleep, a breathing tube will be placed into your windpipe to assist with your breathing throughout the laparoscopy. Your anesthesia care team will give you other medications through your IV, as required during your laparoscopy.