Evaluation of Medical and Economic Incidence of Hypnosis

Study Overview
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Brief Summary
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Hypnosis in conization is more and more use to substitute General Anesthesia (GA) in Anesthesia's field. This study wants to prove that the Hypnosis in conization are cheaper.

Detailed Description
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Hypnosis in conization is more and more use to substitute General Anesthesia (GA) in Anesthesia's field. There are few studies about this new anesthesia tool. The latter showed that it's possible to substitute GA by hypnosis. This tool could have many positive such as reduced pains, anxiety or post operative vomiting nausea (POVN). Hypnosis in conization also allows time reduction in post operative security monitoring room (SSPI), speedier hospital discharge and greater patient satisfaction. Most studies involves 1 or 2 practitioners and few patients. There is no reliable research which compare Hypnosis in conization costs and GA costs. Since 2010, anesthesia's team of Grenoble Mutualist Hospital group (GHM) realized many Hypnosis in conization surgical procedures. Half of the team had been trained to Hypnosis in conization and use it for several types of surgeries for a lot of surgeons. It's the case for conisations. Currently, the 7 gynaecologists surgeons of the team achieved between 150 and 200 per year , some of this used GA, others used Hypnosis in conization, and unusually they used  rachianesthesia . Thus, it gives us the opportunity for studying Hypnosis in conization, without practitioner effect, for a relatively cohesive group of patients (vast majority of patients are between 30 and 50 years and they haven't any particular medical history).

Official Title
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Evaluation of Medical and Economic Incidence of Hypnosis in Conization

Conditions
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Surgery

Intervention / Treatment
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* Procedure: General anaesthesia
* Procedure: Hypnosis in conization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all women whom need a conization Exclusion Criteria: age<18 ans guardianship trusteeship not affiliated to the social security

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| General anaesthesia<br>this group will allow us to compare the results like it is the treatment used in current practice ie general anesthesia. | Procedure: General anaesthesia<br>* the patient will receive a general anaesthesia do proceed at her conization<br>|
| Hypnosis in conization<br>This group is the treatment being tested , where hypnosis is used in the conization | Procedure: Hypnosis in conization<br>* this is the experimental treatment which is allocated to the experimental group<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| economic benefit of Hypnosis in conization compare to GA | The primary study endpoint will be the GA costs compare to Hypnosis in conization costs | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| time spent in the operating room |  | 1 day | 
| time spent in SSPI |  | 1 day | 
| time of participation in out-patient surgery department |  | 1 day | 
| hospital admission rates |  | 1 year | 
| postoperative pain using a visual analog scale |  | up to 1 month | 
| time to resumption of professional activity |  | 3 months | 
| patients satisfaction using a visual analog scale |  | up to 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hypnoanesthesia, Hypnosis, conization