Surgical Hypnosis

When people set aside the usual myths andRadiology at Beth Israel Deaconess in Boston, MA.
misconceptions associated with hypnosis goodHer study involved 241 patients receiving
things usually happen. Recently, hypnosis has beenpercutaneous vascular and renal procedures either
getting some positive national exposure increasingreceived no special treatment, structured
the publics general awareness of its health relatedattention or self-hypnotic relaxation. "Structured
benefits and its role as an increasingly popularattention and self-hypnotic relaxation proved
frontline holistic healer. Hypnosis is non-invasive,beneficial during invasive medical procedures.
soothing and once the client understands theHypnosis had more profound effects on pain and
process they may continue making healthyanxiety reduction, and is superior, in that it also
changes all on their own.improves hemodynamic stability." (4)
Hypnosis is the simple process of accessingOther studies reveal more positive results:
subconscious thought. The subconscious mind has"Positive intraoperative suggestions seem to have
many important functions; it is where all oura significant effect in reducing morphine
values, beliefs, habits and patterns reside. It also isrequirements in the early postoperative period."
the home of our body's control center. It(5)
regulates our heart rate, breathing and"Patients in the hypnosis group had significantly
coordinates every step we take.less vomiting, 39% compared to 68% in the
Having the key to such a powerful place enablescontrol group, less nausea and less need of
us to initiate positive changes supporting how ouranalgesics postoperatively. Preoperative hypnotic
body responds to situations like stress, fear, pain,techniques in breast surgery contribute to a
depression or even the trauma of surgery. Clientsreduction of both post operative nausea and
fortunate enough to be given the option ofvomiting and postoperative analgesic
receiving hypnosis prior to, and after surgicalrequirements." (6)
procedures, sing its praises. Also, scientific"Anxiety before the operation increased
research supports these claims with reducedsignificantly in the control group but remained at
complications and medication needs; more timelybaseline level in the experimental (hypnosis) group.
recoveries and shorter hospital stays, which isPostoperative consumption of analgesics was
good for everyone.significantly reduced in the experimental (hypnosis)
"An average savings of $1,200 per patientgroup compared to the control (non-hypnosis)
resulted from this simple 5-minute intervention."group." (7)
(1)"A significant correlation was found between
Another study discovered that the hypnosisanxiety and perceived knowledge of procedures.
group did better than 89% of those who did notThe results suggest that pre-operative hypnosis
receive hypnosis. "These data strongly supportprovides a quick and effective way to reduce
the use of hypnosis with surgical patients." (2)pre-operative patient anxiety and anesthetic
Hypnosis isn't magic, its nature. We all go in andrequirements for gynecological daycare surgery."
out of hypnotic-like trance several times a day.(8)
We call it day dreaming or zoning out. Hypnosis isThrough the early 20th century the debate was if
the process of enabling this dream-like state tohypnosis existed at all. The American Medical
occur and then offering helpful direction, whichAssociation said it did in 1958 and since then
support the client's specific goals.hypnosis has been dissected and analyzed and the
Surgical hypnosis involves relaxation, improvedpositive results are available for anyone to read.
immune response and circulation that minimizesNow the debate is over and the verdict is in. It
infection and promotes rapid healing. By increasingmay not be for everyone, but what is? Hypnosis
endorphin production pain is minimized requiringis safe, relaxing and an effective option for clients
less medication and the unwanted side effectsgoing through the trauma of surgery. There are
that usually result. And because the imaginationno side effects or allergic reactions and it costs
resides in subconscious thought, wonderful imagesnext to nothing. Some also believe that it should
show the client relaxed, comfortable andbe the client's right, not the hospital's option, as to
successful further reinforcing this positive plan.which holistic supports are available. Someday
This healthy direction creates a blueprint, whichsoon it will hopefully be as simple as selecting
becomes reality. Surgical Hypnosis disconnects'hypnosis' on a pre-op check list.
patterns of fear and worry. It puts the client in(1) Disbrow EA. Bennett HL. Owings JT. Effect of
the drivers seat when need they need it most. Inpreoperative suggestion on postoperative
life we all follow the path of our most dominantgastrointestinal motility Western Journal of
thoughts and with hypnosis you get the uniqueMedicine. 1993; 158(5): 488-92.
opportunity to create the thoughts and images,(2) The Effectiveness of Adjunctive Hypnosis
which serve you best. What your mind conceiveswith Surgical Patients: A Meta-Analysis Guy H.
your body achieves.Montgomery, PhD*, Daniel David, PhD*, Gary
In the mid 1840's when John Elliotson and JamesWinkel, PhD*, Jeffrey H. Silverstein, MD , and Dana
Esdaile began using hypnosis in the surgical settingH. Bovbjerg, PhD*
as an anesthetic with great success. Prior to their(3) Origins of Surgical Hypnosis. John F. Kihlstrom
efforts mortality rate was 40%; with hypnosis it(4) Adjunctive non-pharmacological analgesia for
was 5%. In spite of their success hypnosis wouldinvasive medical procedures: a randomized trial.
soon take a backseat to either, nitrous oxide andElvira V Lang, Eric G Benotsch, Lauri J Fick, Susan
chloroform by the late 1840's. (3)Lutgendorf, Michael L Berbaum, Kevin S Berbaum,
The 3 important keys to success with hypnosisHenrietta Logan, David Spiegel. The Lancet, Vol
are how open a client is to this type of relaxation,355, April 29, 2000, pages 1486-1490.
how motivated they are to make positive(5) McLintock TT. Aitken H. Downie CF. Kenny GN.
changes and how prepared the hypnotist is toPostoperative analgesic requirements in patients
offer the suggestions and imagery supporting theexposed to positive intraoperative suggestions.
desired change. Hypnosis is a relationship of trustBMJ 1990; 301(6755): 788-90
and co-operation. If a client believes the hypnotist(6) Enqvist B. Bjorklund C. Engman M. Jakobsson J.
is working in their best interest they are likely toPreoperative hypnosis reduces postoperative
be more open minded and accepting, ensuringvomiting after surgery of the breasts. Acta
positive results.Anaesthesiologica Scandinavica 1997; 41(8):
It is impossible to predict the outcome of any1028-32.
treatment option but when clients understand the(7)Enqvist B. Fischer K. Preoperative hypnotic
technique, benefits and are involved with thetechniques reduce consumption of analgesics after
process, results are consistently positive. Also,surgical removal of third mandibular molars: a brief
considering the mountain of research supportingcommunication. International Journal of Clinical &
clinical hypnosis as an effective compliment toExperimental Hypnosis 1997; 45(2): 102-8.
traditional medicine, the time has come to open(8)Goldmann L. Ogg TW. Levey AB. Hypnosis and
the door to this and other holistic options.daycase anaesthesia. A study to reduce
An advocate and practitioner of surgical hypnosispre-operative anxiety and intra-operative
is Elvira Lang MD. Dr. Lang teaches at Harvardanaesthetic requirements. Anaesthesia 1988;
University and is the Director of Interventional43(6): 466-9.