Cœliochirurgie sous anesthésie locale et hypnosédation, à propos de 35 cholécystectomies et 15 cures de hernies

Séfiani, T.; Uscain, M.; Sany, J; Grousseau, D; Marchand, Philippe; Villate, D.; Vincent, Jean-François

doi:10.1016/j.annfar.2004.08.014

Cited by 15 publications

(2 citation statements)

References 53 publications

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“…2,3 The practice of hypnosis has been developing rapidly in recent years in the fields of dentistry, obstetrics and pediatrics. Surgery with hypnosis, in particular for ophthalmological interventions (cataract surgery 2 ) or treatment of inguinal hernias in digestive surgery 4,5 and especially odontology [6][7][8][9][10] have proved to be effective and to decrease anxiety during the intervention. Currently in the Ear, Nose, and Throat (ENT), hypnosis is widely used for chronic pain treatment, tinnitus treatment 11 or also as support to patients in palliative care.…”

Section: Introductionmentioning

confidence: 99%

Neck Surgery with Hypnosis: An Evaluation Based Upon Patient’s Self Assessment

Jaouen¹,

Parent²,

Codet³

et al. 2019

Ann Otol Rhinol Laryngol

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Background: Surgery with hypnosis avoids the use of general anesthesia (GA). It also shortens hospitalization and promotes outpatient surgery. The objective of this study has been to assess the satisfaction of operated patients. No previous study has focused on patient satisfaction in a prospective design. Methods: In this prospective, non-randomized, observational study, all patients operated with hypnosis between 2009 and 2017 in the Ear, Nose, and Throat department of a tertiary care hospital were selected. All patients were asked to fill a questionnaire based on a previously validated questionnaire incremented with complementary questions. Questionnaires were completed immediately after surgery for 31 patients and after 6 months for 20 patients. Global Satisfaction Index (GSI) was self-assessed on a scale ranging from 1 to 10. Patients were asked; whether they felt comfortable during the operation, whether hypnosis helped them, whether the experience matched their expectations, whether they would revisit or recommend it to someone else and whether they considered to have been sufficiently informed before the procedure. The data was analyzed using a linear regression model with P < .05 considered as statistically significant. Results: During the inclusion period, no patient required conversion to GA. A total of 48 questionnaires were evaluated. The median of the GSI was 8/10. GSI significantly correlated with patient comfort ( P < 0.0001) and quality of preoperative information ( P = .002). The percentage of patients who found hypnosis helpful correlated with the duration of surgery ( P = .04). The probability for a patient to consider hypnosis as an experience matching their expectation increased with surgical team experience OR 0.55 (0.3-0.9). Conclusion: This study reveals that patients’ global satisfaction after hypnosis is high. This is significantly related to the quality of preoperative information and to the experience of the surgical team. It also suggests that patients are more likely to benefit from hypnosis if the surgery is longer.

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Section: Introductionmentioning

confidence: 99%

Neck Surgery with Hypnosis: An Evaluation Based Upon Patient’s Self Assessment

Jaouen¹,

Parent²,

Codet³

et al. 2019

Ann Otol Rhinol Laryngol

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“…On the other hand, laparoscopic cholecystectomy under local anesthesia has been reported in only one paper, to asses the utility and the feasibility of "hypnosedation" on laparoscopic procedures. A total of 35 cholecystectomies were performed in highly selected patients under local anesthesia; 13 patients (37 %) were converted to general anesthesia, mainly for peritoneal pain induced by CO 2 insufflations, and the remaining 22 procedures were completed with patient satisfaction [17]. In our experience, transcylindrical cholecystectomy under local anesthesia plus sedation has some peculiarities compared with the same technique performed under general anesthesia.…”

mentioning

confidence: 95%

Transcylindrical cholecystectomy under local anesthesia plus sedation. A pilot study

Ej¹,

Jh²,

Giraldo³

et al. 2010

Endoscopy

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Small-incision cholecystectomy (through a cylinder retractor) under local anaesthesia and sedation: a prospective observational study of five hundred consecutive cases

Grau-Talens

Motos-Micó

Giraldo-Rubio

et al. 2018

Langenbecks Arch Surg

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TC under LAS is a safe procedure in AS and is feasible in 74% of cholelithiasis patients. Male sex, BMI, gallbladder wall thickness, and a history of acute cholecystitis are factors that increase the probability of conversion to GA. This prospective study was approved by the ethics committee of Badajoz for patient protection for biomedical research and has been retrospectively registered under the research registry UIN: researchregistry3979.

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Cœliochirurgie sous anesthésie locale et hypnosédation, à propos de 35 cholécystectomies et 15 cures de hernies

Cited by 15 publications

References 53 publications

Neck Surgery with Hypnosis: An Evaluation Based Upon Patient’s Self Assessment

Neck Surgery with Hypnosis: An Evaluation Based Upon Patient’s Self Assessment

Transcylindrical cholecystectomy under local anesthesia plus sedation. A pilot study

Small-incision cholecystectomy (through a cylinder retractor) under local anaesthesia and sedation: a prospective observational study of five hundred consecutive cases

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