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Published on: March 1, 2024
Use of Virtual Reality for Pain Relief During Cervical Conization Under Local Anesthesia: A Randomized Controlled
Nadav Michaan1, Ido Laskov, Jumaana Joubran
1Gynecologic Oncology Department, Tel Aviv Medical Center and Gray Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Virtual reality (VR) use during cervical conization did not reduce procedural pain but was safe and highly satisfactory for patients. Most women overestimated their pain, suggesting VR may improve the overall patient experience.
Area of Science:
- Gynecology
- Medical Technology
- Pain Management
Background:
- Cervical conization (loop electrosurgical excision procedure) under local anesthesia often causes patient anxiety and pain.
- Virtual reality (VR) is a potential tool to improve patient experience during medical procedures.
Purpose of the Study:
- To prospectively evaluate the impact of VR use on pain and anxiety during cervical conization.
- To assess patient satisfaction and procedural difficulty with VR integration.
Main Methods:
- A randomized controlled study compared women undergoing cervical conization with and without VR glasses.
- Data collected included demographics, anxiety, anticipated and experienced pain (visual analog scale), heart rate, and patient satisfaction.
Main Results:
- No significant difference in pain, anxiety, or heart rate was observed between the VR and control groups.
- Experienced pain was significantly lower than anticipated in both groups.
- Patient satisfaction was high, with 90% of VR users recommending it; VR was safe with rare adverse effects.
Conclusions:
- VR use during cervical conization did not reduce perceived pain but was safe and well-tolerated.
- VR technology can enhance the overall patient experience during the procedure, despite not significantly altering pain perception.
- Patients frequently overestimate pain associated with cervical conization.
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