Re: anasthetic used during tenotomy

[Guest guest]

Tonya,

Nine weeks is an awfully long time for casting. Can you describe to us the

tenotomy he wants to perform? There are many variations to this " simple "

procedure that are often really detrimental to the overall long term results.

Have you ever sought out a 2nd opinion or considered finding a Ponseti Method

doctor?

s.

anasthetic used during tenotomy

Hi. I'm a new mom with a 9 week old little girl with one club foot. We have

been doing

serial casting since she was 2 days old and now our doctor is recommending

doing the

tenotomy to bring down her heel. He uses a gas anasthetic during the

procedure which

scares me a lot more than the procedure itself! Has anyone gone through this?

If so, how

did your baby tolerate the anasthetic? Also, is anyone familiar with Dr.

Steve Conlan or

any other orthopedic docs from Kaiser in Colorado. Thanks - Tonya

[Guest guest]

Hi Tonya,

My son had the tenotomy under local anaesthetics (at

about 10 weeks I think), but he had a general

anaesthesia for a hernia operation when he was 6 weeks

old (2 days BEFORE his due date even!) and he was

fine. He cried because I wasn't allowed to feed him

for 4 hours beforehand, and when he came round he

cried again until I fed him. He drank loads and loads

and after that he was perfectly happy again.

Hope this helps a bit.

All the best,

with (3y)

and Alister (3y, RCF, Ponseti method, UK)

--- mntjourney wrote:

> Hi. I'm a new mom with a 9 week old little girl with

> one club foot. We have been doing

> serial casting since she was 2 days old and now our

> doctor is recommending doing the

> tenotomy to bring down her heel. He uses a gas

> anasthetic during the procedure which

> scares me a lot more than the procedure itself! Has

> anyone gone through this? If so, how

> did your baby tolerate the anasthetic? Also, is

> anyone familiar with Dr. Steve Conlan or

> any other orthopedic docs from Kaiser in Colorado.

> Thanks - Tonya

>

>

>

>

>

>

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[Guest guest]

Tonya--

Hi!! My son went for a tenotomy on his right foot when he was just over 10

weeks and the

doc put him under general anesthesia. It is definitely very scary, but it's

over quick and

with more cases than not, there are no problems at all. My son had no adverse

effects at

all, and was eating before we even left the hospital. He did seem a little

cranky from the

minor pain, and his voice was hoarse from the tube in his throat, but overall it

was no big

deal. (afterwards, of course) :-)

I only know of one doc in Colorado-- Dr Hatch in Greeley -- who's approved by Dr

Ponseti

on his website to do the treatment. I have no idea where in Co you are or

whether Hatch is

part of Kaiser, so I can't help there. Sorry.

Best of luck, and try not to worry too much. Your little one will be just fine,

I'm sure!

Stacee and 9/24/05, rcf, FAB 20/7

>

> Hi. I'm a new mom with a 9 week old little girl with one club foot. We have

been doing

> serial casting since she was 2 days old and now our doctor is recommending

doing the

> tenotomy to bring down her heel. He uses a gas anasthetic during the

procedure which

> scares me a lot more than the procedure itself! Has anyone gone through this?

If so,

how

> did your baby tolerate the anasthetic? Also, is anyone familiar with Dr.

Steve Conlan or

> any other orthopedic docs from Kaiser in Colorado. Thanks - Tonya

>

[Guest guest]

Most children tolerate anethesia pretty well. has been under 9 different

times in 13 months. The first being at 16 hours old. The gas is the quickest

and easiest to recover from because they only use it for quick procedures. The

last time this was used on was to switch his G-tube. From the time we

checked in until we were in the car on our way home was 1 1/2 hours.

However, if you are nervous get another opinion. Not all doctors do it under

anesthesia. Just make sure you daughter's foot is fully corrected accept for

that little adjustment.

11/19/04

number23 wrote:

Tonya,

Nine weeks is an awfully long time for casting. Can you describe to us the

tenotomy he wants to perform? There are many variations to this " simple "

procedure that are often really detrimental to the overall long term results.

Have you ever sought out a 2nd opinion or considered finding a Ponseti Method

doctor?

s.

anasthetic used during tenotomy

Hi. I'm a new mom with a 9 week old little girl with one club foot. We have

been doing

serial casting since she was 2 days old and now our doctor is recommending

doing the

tenotomy to bring down her heel. He uses a gas anasthetic during the

procedure which

scares me a lot more than the procedure itself! Has anyone gone through this?

If so, how

did your baby tolerate the anasthetic? Also, is anyone familiar with Dr.

Steve Conlan or

any other orthopedic docs from Kaiser in Colorado. Thanks - Tonya

[Guest guest]

Tonya,

My son had the tenotomy under general anesthetic and he did just fine.

The one thing to remember is that the Anesthesiologists who do this

for babies/children are specialists, they really know what they are

doing. It is such a minor procedure and they are asleep for such a

short amount of time.

>

> Hi. I'm a new mom with a 9 week old little girl with one club foot.

We have been doing

> serial casting since she was 2 days old and now our doctor is

recommending doing the

> tenotomy to bring down her heel. He uses a gas anasthetic during

the procedure which

> scares me a lot more than the procedure itself! Has anyone gone

through this? If so, how

> did your baby tolerate the anasthetic? Also, is anyone familiar

with Dr. Steve Conlan or

> any other orthopedic docs from Kaiser in Colorado. Thanks - Tonya

>

[Guest guest]

Hi, Tonya,

Welcome to our group! As others have stated, using a general

anesthesia for the tenotomy is not uncommon. Do you know if your

doctor is using the Ponseti method? There are different types of

tenotomies. Has he described what kind of tenotomy he'll be using?

What you can expect if he is using the Ponseti method is this:

All other aspects of the clubfoot are corrected and this is the last

step for completing the correction. The tenotomy is described as

a " percutaneous tenotomy " . It is a small puncture wound made with a

scalpel, the incision is so small that there are no stitches needed to

close the wound. The procedure takes just a few minutes~ 20-30

minutes total including applying the last cast. Some doctors use just

local anesthesia, others use general. The cast stays on for 3 weeks

to allow the tendon to heel. Then the baby goes into the foot

abduction brace full time for 3 months (23 hours/day).

If your doctor is prescribing more than 3 weeks of post-op casting,

then he might be planning a more invasive open-incision release.

If you go to http://members.tripod.com/ponseti_links-ivil there is a

parents' checklist that can help you determine if your doctor is using

the Ponseti method and if it's being used correctly. Even better is

the Global HELP booklet, which you can download from their website.

The link to that is on that same webpage under the medical journals

and papers section. It's also on this nosurgery4clubfoot board's

links section.

I hope this helps!

& (3-16-00, left clubfoot)

http://ponseticlubfoot.freeservers.com/

>

> Hi. I'm a new mom with a 9 week old little girl with one club foot.

We have been doing

> serial casting since she was 2 days old and now our doctor is

recommending doing the

> tenotomy to bring down her heel. He uses a gas anasthetic during

the procedure which

> scares me a lot more than the procedure itself! Has anyone gone

through this? If so, how

> did your baby tolerate the anasthetic? Also, is anyone familiar

with Dr. Steve Conlan or

> any other orthopedic docs from Kaiser in Colorado. Thanks - Tonya

>