Hypnosis in the Perioperative Management of Breast Cancer Surgery: Clinical Benefits and Potential Implications

Abstract

The aim of this review is to summarize data published on the use of perioperative hypnosis in patients undergoing breast cancer surgery (BCS). Indeed, the majority of BCS patients experience stress, anxiety, nausea, vomiting, and pain. Correct management of the perioperative period and surgical removal of the primary tumor are clearly essential but can affect patients on different levels and hence have a negative impact on oncological outcomes. This review examines the effect of clinical hypnosis performed during the perioperative period. Thanks to its specific properties and techniques allowing it to be used as complementary treatment preoperatively, hypnosis has an impact most notably on distress and postoperative pain. During surgery, hypnosis may be applied to limit immunosuppression, while, in the postoperative period, it can reduce pain, anxiety, and fatigue and improve wound healing. Moreover, hypnosis is inexpensive, an important consideration given current financial concerns in healthcare. Of course, large randomized prospective studies are now needed to confirm the observed advantages of hypnosis in the field of oncology.

Perioperative Outcomes of Adjunctive Hypnotherapy Compared with Conscious Sedation Alone for Patients Undergoing Transfemoral Transcatheter Aortic Valve Implantation

“…The details of the induction technique and the exact words used were selected depending on the hypnotist's observations of the patient's behavior and judgments regarding the patient's needs. 16) Baseline characteristics, follow-up, and endpoints:…”

Intérêt et utilisation de l’hypnose pour améliorer le bien-être physique et psychologique en oncologie

“…Un nombre important d'étudeso nt attesté de l'efficacité de l'hypnose pour diminuer la douleur ressentie par les patients atteints d'un cancer :r é duction de la douleur provoquéep ar les biopsies et chirurgies nécessaires au diagnostic [66,[69][70][71] et au traitement du cancer du sein [66,72], meilleure gestion des douleurs postopératoires [66,73]. Elkins et al [74], quant à eux, se sont intéressés à des patients souffrant d'un cancer colorectal, et montrentq ue ceux qui ont bénéficié de l'hypnose avant une colonoscopie rapportent moins de douleur au cours de celle-ci.…”

“…Différentes études ont mis en évidence l'efficacité de l'hypnose pour diminuer la détresse émotionnelle liéea ux soins médicaux et actes techniques, comme par exemple la colonoscopie [74], les traitements oncologiques percutanés [ 75], les biopsies, chirurgies et séances de radiothérapie dans le cadre des cancers du sein [66,70,71,73] ainsi que les ponctions lombaires réalisées chez les enfants [41,77]. Plusieurs études ont investigué les effets de l'hypnose pour l'amélioration du bien-être psychologique de façon plus globale.…”

Reducing the Duration and Improving Hospitalisation Time by Using New Surgical Tehniques and Psychotherapy

“…In domain literature report cases in which hypnosis has been proven effective is in the preoperative preparation of surgical patients. furthermore, by applying hypnosis, positive results are found during the postoperative care of patients [10].…”

“…Thus, one of the factors that influence the appearance of pain is represented by its anticipation by the patient. From this point of view, we can say that the extent to which pain is felt by the patient can be influenced by techniques that can manipulate elements specific to the placebo phenomenon [10].…”