[Laparoscopy under local anaesthesia and hypnoanaesthesia about 35 cholecystectomies and 15 inguinal hernia repair].
OBJECTIVE
To present hypnosedation and the feasibility of this technique performed for laparoscopic procedure.


METHODS
Retrospective and descriptive study of feasibility.


METHODS
Hypnosis can significantly reduce intraoperative requirements of intravenous sedation for surgery under local anaesthesia. Modifications of surgical procedure: laparoscopic surgery under local anaesthesia and hypnosis is performed using a subcutaneous lifting of anterior abdominal wall. Insufflation is only use to push out smoke. If patient or surgical uncomfort happens, moral contract with patient includes convert to general anaesthesia.


RESULTS
We performed 35 cholecystectomies; 13 needed convert to general anaesthesia, mainly for peritoneal pain induced by CO(2) insufflation; 22 procedures were completed with patients' satisfaction. Upon 15-hernia repairs, only one patient needed convert to general anaesthesia, for dissection difficulty.


CONCLUSIONS
Probably hypnosis can't be extent to intraperitoneal laparoscopic procedures. On the other hand interest of hypnosis performed for extraperitoneal laparoscopic hernia repair must be explore.
Séfiani
T
T
Service d'anesthésie, centre hospitalier de Saint-Junien, 87200 Saint-Junien, France.
Uscain
M
M
Sany
J-L
JL
Grousseau
D
D
Marchand
P
P
Villate
D
D
Vincent
J-L
JL
D000328:Adult; D000368:Aged; D000768:Anesthesia, General; D000772:Anesthesia, Local; D002245:Carbon Dioxide; D017081:Cholecystectomy, Laparoscopic; D005240:Feasibility Studies; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D006991:Hypnosis, Anesthetic; D007327:Insufflation; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
D002245:Carbon Dioxide