Reference : Hypnoanesthesia for endocrine cervical surgery: a statement of practice.
Scientific journals : Article
Human health sciences : Alternative medicine
Human health sciences : Anesthesia & intensive care
Human health sciences : Surgery
http://hdl.handle.net/2268/26639
Hypnoanesthesia for endocrine cervical surgery: a statement of practice.
English
Defechereux, Thierry [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
Meurisse, Michel mailto [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
Hamoir, Etienne mailto [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
Gollogly, L. [> > > >]
Joris, Jean mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
Faymonville, Marie mailto [Centre Hospitalier Universitaire de Liège - CHU > > Anesthésie et réanimation >]
1999
Journal of Alternative & Complementary Medicine : Research on Paradigm, Practice, & Policy
Mary Ann Liebert, Inc.
5
6
509-20
Yes (verified by ORBi)
International
1075-5535
1557-7708
[en] Adult ; Anesthesia, General/methods ; Conscious Sedation/methods ; Female ; Humans ; Hyperparathyroidism/surgery ; Hypnosis, Anesthetic ; Male ; Middle Aged ; Pain, Postoperative ; Parathyroidectomy ; Postoperative Period ; Retrospective Studies ; Thyroid Diseases/surgery ; Thyroidectomy
[en] OBJECTIVES: To assess the feasibility of endocrine cervical surgery under hypnoanesthesia as a valuable, safe, efficient, and economic alternative to general anesthesia. METHODS: Between April 1994 and June 1997, 197 thyroidectomies and 21 cervical explorations for hyperparathyroidism were performed under hypnoanesthesia (HYP) using Erikson's method. Operative data and postoperative course of this initial series were compared to a contemporary population of patients (n = 119) clinically similar except that they declined HYP or were judged unsuitable for it, and who were therefore operated on under general anesthesia (GA). RESULTS: The surgeons all reported better operating conditions for cervicotomy using HYP. Conversion from hypnosis to GA was needed in two cases (1%). All patients having HYP reported a pleasant experience and, keeping in mind that the GA group is not a randomly assigned control group, both had significantly less postoperative pain and analgesic use. Hospital stay was also significantly shorter, providing a substantial reduction in the costs of medical care. The postoperative convalescence was significantly improved after HYP and a full return to social or professional activity was significantly quicker. CONCLUSION: From this study, we conclude that HYP is an effective technique for providing relief of intraoperative and postoperative pain in endocrine cervical surgery. The technique results in high patient satisfaction and better surgical convalescence. This technique can therefore be used in most well-chosen patients and reduces the socioeconomic impact of hospitalization.
http://hdl.handle.net/2268/26639

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