Hypnoanalgesia for Dilatation and Curettage Pain Control

Abstract

There are many acceptable approaches ranging from light to moderate intravenous sedation or analgesic drugs that are used to provide pain control in dilatation and curettage. We report the use of hypnosis as a nonpharmacologic approach to control pain in this manner.

Hypnosis for cingulate-mediated analgesia and disease treatment

“…It can be also used to address a large number of clinical conditions at both acute and chronic stages of disease expression, ranging from treatment of phobias and affective disorders (e.g., depression or posttraumatic stress disorder) to neuropsychiatric disorders, such as dissociative identity disorder, psychosis, anorexia nervosa, and somatic symptom disorder (Lynn et al, 2010). As an alternative approach for multiple medical conditions, hypnosis has also a well-established evidence of treating and managing a spectrum of painful conditions (Vanhaudenhuyse et al, 2015(Vanhaudenhuyse et al, , 2018, such as dilation and curettage (Fathi et al, 2017), irritable bowel syndrome (Gonsalkorale et al, 2003;Surdea-Blaga et al, 2016), phantom limb (Oakley and Halligan, 2002), migraine (Flynn, 2018), cancer-related pain (Vickers and Cassileth, 2001;Carlson et al, 2018), and pain related to multiple sclerosis (Amatya et al, 2018). A common denominator for these interventions is the involvement of the cingulate cortex (Vogt and Brent, 2009).…”

Hypnosis as an Approach to Control Pain and Anxiety in Anterior Cruciate Ligament Reconstruction and Meniscal Surgeries: Two Case Presentations

“…We reported the use of hypnosis to induce calmness and control pain during and after the surgical procedure (11). Further, the efficacy of hypnosis in pain control during surgery as an alternative to general or neuraxial anesthesia was shown (6). Renner et al used hypnoanalgesia to control pain in patients with abortion, reporting that analgesic drugs could significantly diminish patient pain (12).…”

“…Recently, hypnosis has been used as an alternative to chemical anesthesia in surgery patients (9), and a highly successful rate has been reported (10). This paper follows our previous case report on hypnoanesthesia in hand surgery (6), discussing the application of hypnosis as a non-pharmacologic intervention for controlling intraoperative and postoperative pain and anxiety, which can contribute to postoperative recovery in patients with ACL surgery.…”

“…Hypnosis is acknowledged as a non-pharmacological pain treatment, which uses relaxation and analgesic suggestions (5). As described earlier, the effective role of hypnotic interventions in medicine (6) as well as dentistry, postoperative recovery (7), and pain control (5) has been well documented.…”

Hypnosis as an Alternative to General Anesthesia for Orthopedic Hand Surgery: A Case Report

“…Hypnosis was used to induce calmness and control pain during and after procedural states (20,21). Also, the effective role of hypnosis in pain control during surgery as an alternative to general or neuraxial anesthesia was shown (22). Renner et al used hypnoanalgesia to control pain in patients with abortion, finding that analgesic drugs could significantly reduce patients' pain (23).…”