Daily Proctological Surgery in Office Setting: Scanning Aided CO2 Laser, Little Devices, Approved Pathways and Hypnosis Allow Better Patient Outcome, Reduce Costs and Makes What Seems Impossible Possible

Elbetti C, Giani I, Caminati F, Cioppa T, Chiostri M, Sammartino C, Braccini G and Linari C

Azienda USL Toscana Centro, SOSD Proctologia Florence, Italy Azienda USL Toscana Centro, SOSD Fisiopatologia Respiratoria Florence, Italy The Royal London Hospital, UK Department of Clinical and Experimental Medicine, General Surgery Residency School University of Florence, Italy

^*Correspondance to: Filippo Caminati 

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Abstract:

Background: In most cases proctological procedures are feasible and safe in an outpatient setting with an excellent cost-benefit ratio. The criticisms from proctologists are about the pain due to the administration of local anesthesia and to elevated anxiety of patients. Today it is possible to reduce patient anxiety and, with appropriate instrumentation, to reduce thermal damage and subsequent postoperative pain. Our purpose is to examine how daily proctological surgery is feasible in office setting and whether hypnosis and hypnotic communication genuinely offer an advantage to patients in terms of reduced pain and decreased anxiety during anesthesia and surgical procedures. Additionally, we aim to determine if this setting provides a favorable cost-benefit ratio. Methods: From the 1st to the 30th of June 2023, 40 patients undergoing an “office” procedure were enrolled in the study, and divided into two groups (Group A treated with hypnosis, Group B without hypnosis). After the procedure, all patients were asked to evaluate the pain, anxiety, and efficacy of the communication before, during and after the surgery. The planned anesthesia technique was the same for all procedures and the surgery procedures varied case by case considering underlying proctological diseases. Results: All patients who underwent hypnosis went into a trance, levitation, catalepsy and analgesia had intraoperative VAS for anxiety and pain and the ratio between perceived and effective duration of surgery significantly lower than the control group. Conclusion: Hypnotic communication and hypnosis appear to be valuable aids for patients undergoing proctological surgery under local anesthetic in an office setting.

Keywords:

Hypnosis; Hypnotic communication; Office; Proctology; Local anesthesia

Cite the Article:

Elbetti C, Giani I, Caminati F, Cioppa T, Chiostri M, Sammartino C, et al. Daily Proctological Surgery in Office Setting: Scanning Aided CO2 Laser, Little Devices, Approved Pathways and Hypnosis Allow Better Patient Outcome, Reduce Costs and Makes What Seems Impossible Possible. World J Surg Surgical Res. 2024; 7: 1541..