Purpose: To assess whether perioperative hypnosis can reduce the length of hospitalization and alter
the need for postoperative analgesics in patients undergoing the Nuss procedure.
Materials and Methods: Ten consecutive patients (age range, 12–18 years) underwent the Nuss
procedure with the same operative technique. For pain management they were divided into two sequential
groups: the 5 patients in the nonhypnosis group were managed with an epidural catheter,
and analgesia was supplemented with intravenous or oral narcotics as requested. These patients all
required Foley catheters for bladder drainage while the epidural was in place. The second group of
5 patients was prepared by teaching them self-hypnosis for postoperative pain management in one
or two brief sessions. Postoperative self-hypnosis was prescribed and encouraged. These patients
were allowed patient controlled analgesia and were supplemented with intravenous or oral narcotics
as requested. Four of the patients in this group required a straight catheterization of the bladder
the evening of surgery. Data collected included hospitalization and analgesia requirements as well
as other unusual findings.
Results: The patients in the hypnosis group spend an average of 2.8 days in the hospital compared
with 4.6 days in the nonhypnosis group (p < 0.01). There was also a trend toward less parenteral
narcotic use. Postoperative discomfort was better controlled with oral analgesics in the hypnosis
group. There were no adverse effects from the hypnosis.
Conclusion: In this small study, perioperative hypnosis was associated with a reduced hospital
stay in patients undergoing the Nuss procedure for pectus excavatum.
