ArticleDiseases of the colon and rectum2026
Hypnosis for Postoperative Pain Management Following Colectomies: A Single-Center Randomized Controlled Feasibility Trial.
Article in Diseases of the colon and rectum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06499909 (Hypnosis for the Management of Postoperative Pain Following Colectomies), which is not on this map. Not yet cited in PubMed.
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Hypnosis for the Management of Postoperative Pain Following Colectomies: a Single Centre Randomised Controlled Feasibility Trial
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4 authors.
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Abstract
backgroundPostoperative pain management after colectomy remains challenging, with opioid-related complications impacting recovery. This study evaluates the feasibility of implementing clinical hypnosis as an adjunctive intervention.
objectiveTo determine the feasibility of conducting a full-scale randomized controlled trial investigating hypnosis for postcolectomy pain management.
methodsSingle-center randomized controlled feasibility trial.
settingDistrict general hospital in South-West England (July 2023 - February 2024). PATIENTS: Forty-one adults undergoing elective colectomy.
interventionsParticipants were randomized to standard care or standard care plus 3 perioperative hypnosis sessions (preoperatively, first- and third-day postsurgery).
main outcome measuresPrimary: recruitment rates, retention, and intervention adherence. secondary: pain scores (numeric pain scale), analgesic requirements, and complications.
resultsRecruitment achieved 58% (41/71 eligible patients), with 90% retention and 92.5% intervention adherence. The hypnosis group demonstrated pain reductions approximating the minimum clinically important difference, providing signals of potential clinical benefit following sessions: at 24-hour postsurgery, median pain decreased from 5.0 to 2.5 (median difference -2.0, 95% confidence interval -2.5 to -1.0), and at day 3, from 4.0 to 1.5 (median difference -2.5, 95% confidence interval -3.0 to -1.5). Between-group comparisons showed lower pain in the hypnosis group at 24 hours (median 5.0 vs 6.0, median difference -1.2, 95% confidence interval -2.3 to -0.1). LIMITATIONS: Single-center design limits generalizability; participant and staff blinding was unfeasible; hypnotizability was not assessed.
conclusionsHypnosis is feasible in acute surgical settings, with trends supporting pain reduction and positive patient experiences. A definitive trial is warranted to determine efficacy for postcolectomy pain management. See Video Abstract.Registration number : ClinicalTrials.gov: NCT06499909.
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