Women’s Center for Mind-Body Health

 

Hospital Research  (Major Surgery)

 

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The focus of this research database is on how stress affects women's health, and options for treatment using mind-body therapies.  To obtain full summaries of the articles, see "How to Get Abstracts" below

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General Preop ICU Bleeding
MRI Intraop CCU Wound Healing
Endoscopy Major Surgery NICU Postop
Sedated Awake Procedures Minor Surgery Burn Unit Cardiac & Neuro Rehab
Anesthesia Recovery Room ER Long Term Care
Pain  

** How to Get Abstracts **

 

 

 

Major Surgery

 

Surgical stress and immune function

Imagery

 

Surgical stress and immune function

 

10723285 R,T

Surgery, pain, and immune function

Surgical and pain effects on psychoneuroimmunology.

1999 CRNA 10;3:94-100

Kremer, M. J.

 

9830373 JA

Psychological influences on surgical recovery. Perspectives from psychoneuroimmunology

Review of psychological stress of surgery as interrelated with research in psychoneuroimmunology--emotions effect stress hormones, which modulate immune function; emotions can influence the amount of anesthetic used, which affects the immune and endocrine systems; anxiety is related to greater postsurgical pain, which can down-regulate immune function; stress hormones can effect wound healing, etc.

1998 Am Psychol 53;11:1209-18

Kiecolt-Glaser, J. K., Page, G. G., Marucha, P. T., MacCallum, R. C., and Glaser, R.

 

9715290 JA

The influence of surgical stress on the psychoneuro-endocrine-immune axis

The stress of surgery, whether major or minor, significantly depresses PMN and monocyte functions and increases serum cortisol levels.

1996 J Postgrad Med 42;1:12-4

Dahanukar, S. A., Thatte, U. M., Deshmukh, U. D., Kulkarni, M. K., and Bapat, R. D.

 

9451750 CT

Pre-operative psychological variables predict immunological status in patients with operable breast cancer

Degree of depression and anxiety significantly affected preop and postop number and subsets of lymphocytes.

1997 Psychooncology 6;4:311-20

Tjemsland, L., Soreide, J. A., Matre, R., and Malt, U. F.

[Top]

 

Imagery

 

10557909 RCT

Effect of guided imagery on length of stay, pain and anxiety in cardiac surgery patients

Cardiac surgery patients who listened to a preop guided imagery surgical tape had significantly less pain, anxiety and two days shorter hospital stay.

1999 J Cardiovasc Manag 10;2:22-8

Tusek, D. L., Cwynar, R., and Cosgrove, D. M.

 

10873253 RCT

Guided imagery: replication study using coronary artery bypass graft patients

Replication of the above Tusek Coronary artery bypass study with guided imagery tape showed significantly shorter hospital stay and trends in decreased pain and anxiety. [This tape includes suggestions for relaxation, not for surgical outcome.]

2000 Nurs Clin North Am 35;2:417-25

Deisch, P., Soukup, S. M., Adams, P., and Wild, M. C.

 

10353504 RCT

Relief of postoperative pain with jaw relaxation, music and their combination

Of 500 Midwestern surgical patients who either were instructed in relaxation (relaxing jaw muscles combined with slow breathing) or who listened to music or both, all had significantly decreased pain compared to a control group. The music group chose 29% orchestral, 24% piano, 24% jazz, 13% synthesizer and 10% harp.

1999 Pain 81;1-2:163-72

Good, M., Stanton-Hicks, M., Grass, J. A., Cranston Anderson, G., Choi, C., Schoolmeesters, L. J., and Salman, A.

 

9128126 RCT

Self-hypnosis reduces anxiety following coronary artery bypass surgery. A prospective, randomized trial

Patients having coronary artery bypass surgery who were taught a self-hypnosis relaxation technique the night before surgery were significantly more relaxed.

1997 J Cardiovasc Surg (Torino) 38;1:69-75

Ashton, C. Jr, Whitworth, G. C., Seldomridge, J. A., Shapiro, P. A., Weinberg, A. D., Michler, R. E., Smith, C. R., Rose, E. A., Fisher, S., and Oz, M. C.

 

2180861 CT

Relaxation technique and postoperative pain in patients undergoing cardiac surgery

Cardiac surgery patients who were taught a simple deep breathing relaxation technique preop to use postop had significantly decreased blood pressure, heart rate, respiratory rate and pain than a control group.

1990 Heart Lung 19;2:136-46

Miller, K. M. and Perry, P. A.

 

2676027 RCT

The efficacy of the relaxation response in preparing for cardiac surgery

Cardiac surgery patients using the "relaxation response" had significantly less tension, anger and cardiac arrhythmia.

1989 Behav Med 15;3:111-7

Leserman, J., Stuart, E. M., Mamish, M. E., and Benson, H.

 

11151436 RCT

The use of relaxation techniques in the perioperative management of proctological patients: preliminary results

Use of a preop guided imagery tape for Italian patients undergoing colorectal surgery showed significantly less pain, less painful urination, and better sleep quality.

2000 Int J Colorectal Dis 15;5-6:313-6

Renzi, C., Peticca, L., and Pescatori, M.

 

9075752 RCT

Guided imagery: a significant advance in the care of patients undergoing elective colorectal surgery [See Preparing for Surgery for powerpoint slides of this study.]

Use of a preop guided imagery tape in colorectal surgery patients lead to significant decrease in pain, anxiety, and pain medication use.

1997 Dis Colon Rectum 40;2:172-8

Tusek, D. L., Church, J. M., Strong, S. A., Grass, J. A., and Fazio, V. W.

 

7792376 RCT

Preoperative rehearsal of active coping imagery influences subjective and hormonal responses to abdominal surgery

Abdominal surgery patients using guided imagery had significantly less postop pain and lower cortisol levels.

1995 Psychosom Med 57;2:177-82

Manyande, A., Berg, S., Gettins, D., Stanford, S. C., Mazhero, S., Marks, D. F., and Salmon, P.

 

8342264 RCT

Effect of preoperative suggestion on postoperative gastrointestinal motility

Single-blind trial of abdominal surgery patients, to whom a 5 minute script was read preoperatively suggesting increased gastrointestinal motility after surgery. Suggestion group had significantly shorter ileus time and was discharged two days earlier, with an estimated savings of $1200.

1993 West J Med 158;5:488-92

Disbrow, E. A., Bennett, H. L., and Owings, J. T.

 

9295485 RCT

[Relaxation training on stress response to abdominal surgery]

[Article in Chinese] Per abstract, abdominal surgical patients who received relaxation training in had significantly less postop anxiety, pain and serum cortisol levels.

1996 Zhonghua Hu Li Za Zhi 31;7:377-80

Ma, Y. L., Qin, L. J., and Han, Z. F.

 

10829320 RCT

[Effect of  preoperative visualization therapy on postoperative outcome after inguinal hernia surgery and thyroid resection]

[Article in German] Per abstract, use of preoperative visualization in hernia or goiter surgery led to less wound hematomas, less pain and less pain medication use.

2000 Zentralbl Chir 125;4:380-5; discussion 385-6

Omlor, G., Kiewitz, S., Pietschmann, S., and Roesler, S.

 

 10568855 RCT

Effects of a brief and economical intervention in preparing patients for surgery: does coping style matter?

Hysterectomy patients who had a single session training in deep breathing, relaxation and guided imagery one week prior to surgery had significantly less postop pain and quicker return to function than a control group, irregardless of their assessed coping style.

1999 Pain 83;3:471-5

Miro, J. and Raich, R. M.

 

6151167 CT

A behavioral technique for recovery from the psychological trauma of hysterectomy

Hysterectomy patients who were trained in relaxation and biofeedback left the hospital a day earlier than a control group.

1984 Percept Mot Skills 59;2:677-8

Lobb, M. L., Shannon, M. C., Recer, S. L., and Allen, J. B.

 

9311402 RCT

Preoperative hypnosis reduces postoperative vomiting after surgery of the breasts. A prospective, randomized and blinded study

Single blinded study showed that using a preop hypnotic suggestion tape significantly reduced nausea and vomiting in women undergoing breast reduction surgery.

1997 Acta Anaesthesiol Scand 41;8:1028-32

Enqvist, B., Bjorklund, C., Engman, M., and Jakobsson, J.

 

10208075 CT

Medical hypnosis and orthopedic hand surgery: pain perception, postoperative recovery, and therapeutic comfort

Patients who were undergoing hand surgery and received a standardized 20 minute hypnotic suggestion intervention preop had decreased pain, decreased anxiety and fewer complications.

1999 Int J Clin Exp Hypn 47;2:144-61

Mauer, M. H., Burnett, K. F., Ouellette, E. A., Ironson, G. H., and Dandes, H. M.

 

1937991 MCC

Guided imagery, hypnosis and recovery from head and neck cancer surgery: an exploratory study

Head and neck cancer surgical patients using hypnotic guided imagery significantly decreased length of stay. The high hypnotizable group had significantly decreased complications, with a trend toward decreased blood loss.

1991 Int J Clin Exp Hypn 39;4:215-26

Rapkin, D. A., Straubing, M., and Holroyd, J. C.

 

773476 JA

Hypnosis in pedicle graft surgery

Use of hypnotherapy in 13 plastic surgery patients undergoing pedicle flap operations improved "morale and mental approach", and decreased preop, intraop and postop medication requirements.

1976 Br J Plast Surg 29;1:8-13

Scott, D. L.

 

10499384 MCC

Hypnosis with conscious sedation instead of general anaesthesia? Applications in cervical endocrine surgery

Report of over 200 thyroidectomies and cervical explorations using hypnosedation only. Surgeons reported better operating conditions, patients had less pain, less medication use, shorter hospital stays and quicker postoperative convalescences.

1999 Acta Chir Belg 99;4:151-8

Meurisse, M., Defechereux, T., Hamoir, E., Maweja, S., Marchettini, P., Gollogly, L., Degauque, C., Joris, J., and Faymonville, M. E.

 

3306655 CT

Relaxation and positive imagery for the surgical patient: a research study

Major surgery patients who listened to a tape with music, nature sounds, and instructions to recall a favorable past experience had significantly less pain postop after listening to the tape.

1987 Perioper Nurs Q 3;3:9-16

Swinford, P.

 

2764578 RCT

Imagery instruction and the control of postsurgical pain

Postop patients who had been taught to use "pleasant imagery" had significantly less pain and used less pain medication.

1989 Appl Nurs Res 2;3:114-20

Daake, D. R. and Gueldner, S. H.

 

3906935 MCC

Reduction of postoperative pain parameters by presurgical relaxation instructions for spinal pain patients

Spinal surgery patients who underwent a relaxation training session in progressive muscle relaxation the night before surgery had significantly less complaints to the nursing staff, used 1/3 the pain medication, and left the hospital 2 days earlier.

1985 Spine 10;7:649-51

Lawlis, G. F., Selby, D., Hinnant, D., and McCoy, C. E.

 

7047601 CT

Comparative treatment strategies and their interaction with locus of control in the reduction of postsurgical pain and anxiety

Gallbladder surgery patients who were taught a "cognitive distraction" technique of imagery in a pleasant situation had less anxiety than a progressive muscle relaxation group, an information group and a control group. Locus of control data did not show significant differences.

1982 J Consult Clin Psychol 50;3:439-41

Pickett, C. and Clum, G. A.

 

10554378 JA

Self-hypnosis as anesthesia for liposuction surgery

Case report of a surgeon using self hypnosis (with several different techniques, described in detail), to perform abdominal and flank liposuction on himself.

1999 Am J Clin Hypn 41;4:299-301; discussion 302

Botta, S. A.

 

 

 

 

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