The effect of virtual reality hypnosis (HypnoVR) in patients undergoing inguinal hernia repair under local anesthesia. A preliminary report

• Published in: Langenbeck's archives of surgery Vol. 409; no. 1; p. 329
• Main Authors: Carannante, Filippo, Capolupo, Gabriella Teresa, Miacci, Valentina, Ferri, Claudio, Agrò, Felice Eugenio, Caricato, Marco, D’Agostino, Fausto
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 29.10.2024
• Subjects: Abdominal Surgery; Adult; Aged; Anesthesia, Local; Anxiety - prevention & control; Brief Report; Cardiac Surgery; Female; General Surgery; Hernia, Inguinal - surgery; Herniorrhaphy - adverse effects; Herniorrhaphy - methods; Humans; Hypnosis - methods; Male; Medicine; Medicine & Public Health; Middle Aged; Thoracic Surgery; Traumatic Surgery; Treatment Outcome; Vascular Surgery; Virtual Reality; Virtual Reality Exposure Therapy - methods; Anxiety; HypnoVR; Inguinal hernia; Virtual reality; Local anesthesia
• ISSN: 1435-2451; 1435-2451
• DOI: 10.1007/s00423-024-03524-4

Introduction 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. Methods 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. Results 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. Conclusion 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.