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Lletz under general anaesthetic

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jleigh88
Lletz under general anaesthetic

Hi,

I'm unsure if I'm on the right forum, but I was just wondering if anyone could share their experience of having lletz treatment under general anaesthetic? I am absolutely petrified of anything to do with needles or medical procedures and I've never been put to sleep before. I am the most terrified I've ever been in my life, I'm due to have it done in just under two weeks. Can anyone fill me in on what to expect?

Thank you :)

HockeyMilk

This treatment method removes a small area of your cervix containing the abnormal cells using a diathermy loop. Your procedure will be carried out under general anaesthetic and is day case surgery meaning you should be able to go home the same day.

AeronaW

I had this done three weeks ago and it was absolutely fine. Not painful and very simple. You will be fine. Don't worry. 

AeronaW

Charlotte290

Don't worry!!! I was a complete hysterical mess before my first GA- this was for a radical hysterectomy 8 weeks ago. 
i had visions of me freaking out- trying to run away- not being able to go through with it... you name it!! 

I have to say- in hindsight, I was worried about absolutely nothing!! I was so calm on arrival at the hospital- feel like I went into autopilot. I was first in, so no time for diazepam or anything! If you're not first, I would speak to your team about having some Pre-op as I know it has helped others. I have a box nearby at all times now abs whenever I get panicky it really helps.
My surgeon knew how nervous I was, and I found it really helpful that I had previously asked them not to go through what was happening with me at the time- ie.. don't tell me when they've done it, no count down or anything like that. 
I can't remember a thing! All I recall is my lovely surgeon holding my hand, chatting to me and then voila! I was awake and it was done. That was honestly the part I was most worried about and it was by far the easiest :) 

 

i don't know anything about the lletz- but waking from an RH was nowhere near as bad as my mind had conjured up. 
I faint at blood tests, I feel faint just sitting in the doctors waiting room... if I can do it- anyone can, trust me!!!! You have got this.

Charlotte x

07.08.20 diagnosed with squamous cell 1b2 cc

16.09.20 radical hysterectomy 

no lymph involvement 

05.12.2020-first check up with MRI.... NED!! 

 

jleigh88

Hi Charlotte,

I just wanted to say thank you so much for this comment, I don't really meet many people who have such extreme anxiety as myself when it comes to needles etc. and reading what you had to say has made me feel so much better. I'm also a fainter, even a tune of savlon can leave me needing to lie down and I 'm also having visions of getting to the hospital and legging it back home again before anyone can come near me 😂 I'm sorry you have had to go through such extreme treatment, I really hope you are recovering well x

Southofthelake
Southofthelake's picture

I had my lletz under GA. woke up and wasn't sore at all, just had a lot of vaginal leakage, but easily mabaged with pads for a few weeks. 

October 2019 - smear test

November 2019 - results back; hpv with severe dyskaryosis, colposcopy organised.

November 2019 - colposcopy, biopsied - confirmed abnormal cells

December 2019 - lletz done

Jan 2020 - confirmed cancer

Feb - confirmed stage 2b CC (updated info, staging changed to stage 3 invlving lymph nodes)

Treatment start March - 28 external radio/5 chemo/4 brachy

April 25th - finished brachy

July 2020 - MRI

Aug - confirmed cancer in lymph node

Sept 2020 - lymphadenectomy (unsuccessful)

Nov 2020 - PET scan - confirmed metastatic cancer -cyberknife denied - chemo only option

Cagney

I've had two - one early Sept and the second end Oct.

You're terrified - yup I know that feeling. Of course you are. I can only send you a huge hug and say you'll be fine, you really will.

But it was fine. I went in for the first one in sheer terror. I had no idea what to expect. I had left all my jewellery at home, no make up, no nail polish. But you need slippers and a dressing gown. You won't need night clothes if you're in and out the same day. There were lots of people coming in for surgery and we all sat in a waiting room, women in one room, men in another, and then we were all getting called one at a time to see the various medics - I saw the anaesthetist, then the consultant who was doing the procedure. The nurses will ask you all the same questions a dozen times and fill in forms, and measure you for surgical stockings, and you get given a surgical gown and paper knickers. I my hospital you get a big box to put your stuff in - so take the minimum in - I had my phone, a book and my clothes. They seal the box with a plastic strip thing and it finds its way to the ward you're on. And your face mask!

The first time, I got wheeled down to the theatre in a chair, I had to climb onto the operating table which is like the consulting/treatment table they do your smears on - I needed a kick stool to get up on it. Then the anaesthetist put a canula in my hand which was fine, and then told me when he was giving me the anaesthetic, I just drifted off completely black, like a deep deep sleep, and then I woke up and was quite confused, thinking shouldn't I be out cold? The only way I realised it was all over was I felt for the paper knickers they gave me and they'd gone. I think I was in there about 20 mins at most. I was wheeled out to the recovery room for a little while - I think that's so you're on hand in case they need ot whip you back in. Then I was wheeled to the ward, shuffled over to the bed, and lived the life of Riley for the rest of the day, got a lovely meal, read a book, and as soon as they were satisfied I could eat, go to for a wee and walk across the ward safely I was sent home.  They will want to keep you in for a few hours, to make sure you're okay. The worst was the canula, they put it in your non dominant hand because it's a bit uncomfortable so you can't do everything you normally do while it's in. Again I think they leave it in in case you need any more medication or fluids or anything. I was intubated as well, which was the thing that terrified me most of all, but they must have put it in and taken it out while I was under, so I knew nothing about it at all. But I did have a bit of a sore throat for a few days.

The second time I went in I was still scared, but less so, having an idea what to expect. This time I walked down to the operating theatre (they take your slippers and put them in a carrier bag when you arrive there). This time I think I must have had more anaesthetic, I don't remember going out, and I didn't fully wake up for a while. It was a different operating theatre, and seemed darker, but it was fine. And this time I wasn't intubated. Same procedure, taken to the ward. I was so groggy though that when I said I needed a wee when I got there, they gave me a cardboard bedpan and I had to wee lying down which was horrendous! Again, was fed lovely food and spent the day dozing, and as soon as I could walk to the loo okay they sent me home. The canula this time was less uncomfortable but I bled a lot when the nurse took it out, and I had a shocking bruise on my hand.

The anaesthetic took a while to clear out of my system though - in Sept I was weak and fatigued for about a week. In Oct it was worse, and I couldn't even sit up for two days, I was so groggy. If you can, get a week off following the procedure, and just chill - get someone to wait on you hand and foot for a few days. My employer has been fantastic, and I've rung in sick but if you need to book some time off to give yourself a chance to get over it. You will be wiped out for a few days. And in my case that made me emotionally really wobbly too.

I'm back in for a hysterectomy sometime - probably new year thanks to COVID. But at least I know more or less what to expect, though this time I'll be in for two or three days and I'll have a catheter for the first day which I'm dreading.

Nothing I can say will take the fear away but you're in the best hands, they do this day in day out, there's a mountain of science behind it and they will take excellent care of you and if they have rice pudding available do have it because that was just fantastic! Almost worth the rest! 

And you're not on your own. Loads of us have been or will be going through the same and we know that fear. And we've survived it and so will you.

Best of luck xxxxx

High grade CIN and CGIN, endocervical adenocarcinoma grade 2 stage 1.

Abdominal hysterectomy BSO 30 Dec 2020.

More Information

Treatments for cervical cancer