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Surgical Treatment
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Regional AenesthesiaSedation Before SurgeryPatients are given a small dose of I.M sedation (Versed : Midazolam) since a little anxiety before surgery is normal. Several patients tell us they’d rather not hear unsettling noises during surgery. Not to worry: You will be provided with a headset with music to mask the sounds. You can bring your own CD. Note that most sleep during surgery.... so just relax.Aenesthesia for Hallux Valgus surgeries and other misformationsModified Ankle nerve block : For Hallux Valgus or other foot pathology, a modified ankle nerve block is applied. This means that all the different nerves of the foot corresponding to different foot area are blockedFor a Hallux valgus, usually only 3 injection are needed. A first injection of aneasthetic is made behind the ankle, one on the dorsum of the foot and a last one on the medial side of the metatarsal. This aenesthetic is a combination of Xylocaine (or Lidocaine), which acts fast, and Mercaine (or Bupivacaine), which will last long. Your foot will be ''asleep'' for about five hours. After the ankle block, there will be a 30-to-45-minute wait period, to ensure complete nerve block. There is no pain during surgery but you will still feel things! (warm-cold, deep pressure, vibration, pulling and so forth; ), not unlike a session at the dentist, but all this without any ''acute'' pain! In the operation room, we provide you with a headset into which relaxation music is piped in . In fact, many patients take a nap while the surgery proceeds. A tourniquet is applied so there is no bleeding during surgery. It is a little tight but that uncomfortable feeling disappears in about 4 minutes. You hardly notice it afterwards. The ankle nerve block can be done on one foot, or both feet if you elected to be operated on both at once. Even with both feet aenesthetized, you can still walk. It feels like a walk on clouds or as if the bottom of you feet was rounded. In some cases of complete reconstruction of the forefoot, it is better to do one side at a time. |
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 © Dr André Perreault Phone: 514-387-3871 Email: | ||