UOC Chirurgia Colorettale, Fondazione Policlinico Universitario Campus Bio-Medico Di Roma, Via Alvaro del Portillo, 21 - 00128, Rome, Italy.
Department of Life, Health and Environmental Science, University of L'Aquila, 67100, L'Aquila, Italy.
Langenbecks Arch Surg. 2024 Oct 29;409(1):329. doi: 10.1007/s00423-024-03524-4.
Surgical procedures, even under local anesthesia, can induce significant stress and anxiety in patients. Innovative approaches to alleviate anxiety are crucial for improving patient outcomes. Sedatives and anxiolytics may alleviate this discomfort, but they can also subject patients to undesirable side effects, diminishing their overall effectiveness, and, finally, delaying discharge. We present the first case series of a patients underwent inguinal hernia surgical repair under local anesthesia using VRH (HypnoVR) to avoid use of sedatives and anxiolytics.
12 consecutive patients were enrolled to undergo elective monolateral inguinal hernia repair surgery via an open approach using HypnoVR, at Colorectal Surgery Unit of Fondazione Policlinico Universitario Campus Bio-Medico di Roma. Vital signs (heart rate, SpO2, blood pressure) were detected for all patients before surgery, during local anesthesia, during the whole intervention and after surgery.
No intraoperative or postoperative complications have been recorded and only one postoperative complication occurred (seroma), which not required invasive treatment but only drug administration. All patient's vital parameters were recorded during all operative and perioperative phasis. No use of intraoperative analgesic, sedative or anxiolytic were needed. All patients were discharged no later than 3 h after surgery.
Virtual Reality Hypnosis is a promising tool for anxiety management in surgical settings. Our series highlights the positive impact of HypnoVR in reduction and management of surgical patient anxiety and discomfort, allowing to perform inguinal hernia repair using only local anesthesia, with good patients' satisfaction.
即使在局部麻醉下，手术也会给患者带来明显的压力和焦虑。寻找缓解焦虑的创新方法对于改善患者的预后至关重要。镇静剂和抗焦虑药可以缓解这种不适，但也会使患者产生不良的副作用，降低其整体效果，最终导致延迟出院。我们首次报道了 12 例患者在局部麻醉下使用 VRH（HypnoVR）行腹股沟疝修补术的病例系列研究，以避免使用镇静剂和抗焦虑药。
在罗马生物医学大学基金会综合医院的普通外科手术单位，12 例连续患者接受了单侧腹股沟疝修补术，采用开放入路和 HypnoVR。所有患者在手术前、局部麻醉时、整个干预过程中和手术后都检测了生命体征（心率、SpO2、血压）。
未记录到术中或术后并发症，仅发生 1 例术后并发症（血清肿），无需侵入性治疗，仅给予药物治疗。所有患者的生命体征均在所有手术和围手术期记录。术中无需使用镇痛、镇静或抗焦虑药物。所有患者均在手术后 3 小时内出院。
虚拟现实催眠是手术环境中焦虑管理的一种有前途的工具。我们的系列研究强调了 HypnoVR 在减少和管理手术患者焦虑和不适方面的积极影响，允许仅使用局部麻醉进行腹股沟疝修补术，患者满意度高。
