Preoperative hypnosis reduces postoperative vomiting after surgery of the breasts
Abstract
BACKGROUND: Postoperative nausea and vomiting (PONV) after general anesthesia and surgery may have an incidence as high as 70% irrespective of antiemetic drug therapy. The use of preoperative hypnosis and mental preparation by means of an audio tape was investigated in the prophylaxis of nausea and vomiting before elective breast reduction surgery. Similar interventions have not been found in the literature. METHODS: Fifty women were randomized to a control group or a hypnosis group; the latter listened to an audio tape daily 4-6 days prior to surgery. A hypnotic induction was followed by suggestions as to how to relax and experience states incompatible with nausea and vomiting postoperatively (e.g. thirst and hunger). There was a training part on the tape where the patients were asked to rehearse their own model for stress reduction. Premedication and anesthetic procedures were standardized. RESULTS: Patients in the hypnosis group had significantly less vomiting, 39% compared to 68% in the control group, less nausea and less need of analgesics postoperatively. CONCLUSIONS: Preoperative relaxation and/or hypnotic techniques in breast surgery contribute to a reduction of both PONV and postoperative analgesic requirements.
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Meta-analyses, narrative reviews, and randomized clinical studies support the potential clinical utility of hypnosis with surgical patients.
“Furthermore, meta-analyses [33], narrative reviews [34,35], and randomized clinical studies [36–39] all support the potential clinical utility of hypnosis with surgical patients.”
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Ćirić, A., Colić, V., Rančić, S., & Madzić, D. (2012) · Acta Medica Medianae · doi:10.5633/amm.2012.0405s
L'HYPNOSE POUR TRAITER LES NAUSÉES ET VOMISSEMENTS : ÇA MARCHE !
Junien, S. (2002)
What Is the Best Strategy to Prevent Postoperative Nausea and Vomiting?
Habib, A. S., & Gan, T. J. (2009) · Elsevier eBooks · doi:10.1016/b978-1-4160-5996-7.00040-7
Hipnosis en el contexto de la anestesia
Lakdja, F., & Sztark, F. (2018) · EMC - Anestesia-Reanimación · doi:10.1016/s1280-4703(18)91266-1
Rapid induction analgesia for acute burn pain: A clinical trial and implementation project
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White, P. F. (2020) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.735305093.793577084
Owens, J., & Walker, L. G. (2011) · Wiley eBooks · doi:10.1002/9781119950905.ch23
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HYPNOSIS FOR PAIN: LIVE VERSUS AUDIO RECORDED INDUCTIONS By
Robertson, R. E. (2009)
Stasiowski, M. J., Ćmiel-Smorzyk, K., & Zmarzły, N. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15010360
“Non-pharmacological interventions aimed at reducing preoperative anxiety and sympathetic activation, such as hypnosis [71], acupuncture [72,73], acupressure [74], or meditation [75], may serve as complementary strategies in selected patients.”
- Authors
- ENQVIST, B., BJÖRKLUND, C., ENGMAN, M., & JAKOBSSON, J.
- Affiliations
- Karolinska Institutet (SE)
- Stockholm South General Hospital (SE)
- Danderyds sjukhus (SE)
- Corresponding author
- ENQVIST, B.
- ORCID
- JAKOBSSON, J.
- Venue
- Acta Anaesthesiologica Scandinavica
- Publisher
- Wiley
- Published
- 1997-09
- Volume
- 41
- Issue
- 8
- Pages
- 1028-1032
- ISSN
- 0001-5172 (ISSN-L)
- 1399-6576
- OpenAlex
- W2014945506
- Cited by
- 94
- References
- 12
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 5 · 2016: 3 · 2015: 2 · 2014: 5 · 2013: 5 · 2012: 3
- FWCI
- 2.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Anaesthesiologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nausea and vomiting management
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Keywords
- preoperative hypnosis, postoperative nausea and vomiting, breast reduction, hypnotic induction, relaxation training, audio tape, antiemetic prophylaxis, postoperative analgesic requirement, stress reduction
- MeSH terms
- Adult, Aged, Anesthesia, General, Female, Humans, Hypnosis, Anesthetic, Middle Aged, Nausea, Postoperative Complications, Preoperative Care, Prospective Studies, Vomiting, Single-Blind Method, Mammaplasty
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