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

Area of Science:

• Surgical innovation
• Anesthesiology
• Patient-centered care

Background:

• Hypnosis as an alternative to general anesthesia (GA) offers benefits like reduced hospitalization and increased outpatient surgeries.
• Previous research has not prospectively evaluated patient satisfaction with hypnosis-assisted surgery.

Purpose of the Study:

• To assess patient satisfaction in prospective observational study of hypnosis-assisted surgeries.
• To identify factors influencing patient satisfaction after hypnosis-assisted procedures.

Main Methods:

• Prospective, non-randomized observational study of Ear, Nose, and Throat patients undergoing hypnosis (2009-2017).
• Validated questionnaire assessing comfort, helpfulness of hypnosis, expectation alignment, recommendation likelihood, and preoperative information.
• Global Satisfaction Index (GSI) self-assessed on a 1-10 scale; analyzed using linear regression (P < .05).

Main Results:

• No conversion to general anesthesia required.
• Median Global Satisfaction Index (GSI) was 8/10.
• GSI positively correlated with patient comfort (P < .0001) and preoperative information quality (P = .002).
• Hypnosis helpfulness correlated with surgery duration (P = .04); patient expectation alignment increased with surgical team experience (OR 0.55).

Conclusions:

• High patient global satisfaction observed following hypnosis-assisted surgery.
• Patient satisfaction is significantly linked to quality of preoperative information and surgical team experience.
• Longer surgical procedures may increase patient benefit from hypnosis.