Authors : M. Taouchikht; S. Abdou; H. Fares; A. Yaacoubi; I. Lahdiri; K. Nouni; A. Lachgar; H. El Kacemi; T. Kebdani; K. Hassouni

Volume/Issue : Volume 9 - 2024, Issue 7 - July

Google Scholar : https://tinyurl.com/y6b44cev

Scribd : https://tinyurl.com/3sm2kb8s

DOI : https://doi.org/10.38124/ijisrt/IJISRT24JUL1128

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Cervical cancer poses a significant health challenge in Morocco, and uterovaginal brachytherapy is essential for treating advanced cases. This study evaluates the use of hypnosedation as an alternative to traditional anesthesia methods during brachytherapy. Conducted over two months at the National Oncology Institute in Rabat, Morocco, the study included five patients previously treated with external radiotherapy and chemotherapy. Hypnosedation was used in the 3rd and 4th brachytherapy sessions, replacing spinal analgesia. Patients reported a reduction in pain and expressed high satisfaction with hypnosedation compared to traditional methods. This approach offers a promising alternative to conventional anesthesia, providing effective pain management and improved patient comfort.

References :

1. ICO/IARC Human Papillomavirus and related diseases report in Morocco. Information centre on HPV and Cervical Cancer (HPV Information Centre) Summ Rep (2019)
2. UICC Global Cancer Control. GLOBOCAN 2020: New Global Cancer Data.
3. Viswanathan AN, Thomadsen B. American Brachytherapy Society consensus guidelines for locally advanced carcinoma of the cervix. Part I: General principles. Brachytherapy 2012;11:33e46.
4. Benrath J, Kozek-Langenecker S, H€upfl M, et al. Anaesthesia for brachytherapye51/2 yr of experience in 1622 procedures. Br J Anaesth 2006;96:195e200.
5. Isoyama-Shirakawa Y, Nakamura K, Abe M, et al. Caudal epidural anesthesia during intracavitary brachytherapy for cervical cancer. J Radiat Res (Tokyo) 2015;56:583e587.
6. Smith MD, Todd JG, Symonds RP. Analgesia for pelvic brachytherapy. Br J Anaesth 2002;88:270e276.
7. Lim KHC, Lu JJ, Wynne CJ, et al. A study of complications arising from different methods of anesthesia used in high-dose-rate brachytherapy for cervical cancer. Am J Clin Oncol 2004;27:449e451.
8. Frankart AJ, Meier T, Minges TL, et al. Comparison of spinal and general anesthesia approaches for MRI-guided brachytherapy for cervical cancer. Brachytherapy 2018;17:761e767.
9. Tefikow S, Barth J, Maichrowitz S, et al. Efficacy of hypnosis in adults undergoing surgery or medical procedures: A meta-analysis of randomized controlled trials. Clin Psychol Rev 2013;33:623e 636.
10. Stalpers LJA, da Costa HC, Merbis MAE, et al. Hypnotherapy in radiotherapy patients: A randomized trial. Int J Radiat Oncol 2005;61:499e506.
11. Musellec H, Bernard F, Houssel P, et al. [Ambulatory Essure implant placement sterilization procedure for women: Prospective study comparing general anesthesia versus hypnosis combined with sedation. Ann Fr Anesth Reanim 2010;29:889e896.
12. Chapet O, Udrescu C, Horn S, et al. Prostate brachytherapy under hypnosedation: A prospective evaluation. Brachytherapy 2019;18: 22-28.
13. Gerbaulet A, Bridier A, Haie-Meder C, et al. Curietherapie des cancers du col uterin. Methode de l’institut Gustave-Roussy. Bull Cancer Radiother 1992;79:107e117.
14. Haie-Meder C, P€otter R, Van Limbergen E, et al. Recommendations from Gynaecological (GYN) GEC-ESTRO Working Group* (I): Concepts and terms in 3D image based 3D treatment planning in cervix cancer brachytherapy with emphasis on MRI assessment of GTV and CTV. Radiother Oncol 2005;74:235e245
15. Erickson MH, Rossi EL. Hypnotherapy: An Exploratory Casebook. Har/Cas edition. New York: Irvington Pub; 1979. p. 507.
16. M. Kissel et al. /Hypnosedation for endocavitary uterovaginal applications: A pilot study Brachytherapy - (2020)
17. Bhanabhai H, Samant R, Grenier EC, et al. Pain assessment during conscious sedation for cervical cancer high-dose-rate brachytherapy. Curr Oncol Tor Ont 2013;20:e307ee310.
18. Chen HC, Leung SW, Wang CJ, et al. Local vaginal anesthesia during high-dose-rate intracavitary brachytherapy for cervical cancer. Int J Radiat Oncol Biol Phys 1998;42:541e544.
19. Leong YH, Tan KHS, Ai Choo B, et al. Novel anesthetic technique for combined intracavitary and interstitial brachytherapy for cervix cancer in an outpatient setting. J Contemp Brachytherapy 2017;3: 236e241.
20. Chu-Hui-Lin Chi G, Young A, McFarlane J, et al. Effects of music relaxation video on pain and anxiety for women with gynaecological cancer receiving intracavitary brachytherapy: A randomised controlled trial. J Res Nurs 2015;20:129e144
21. Viswanathan AN, Creutzberg CL, Craighead P, et al. International brachytherapy practice patterns: A survey of the gynecologic cancer Intergroup (GCIG). Int J Radiat Oncol 2012 Jan; 82:250e255.
22. Fyles A, Keane TJ, Barton M, et al. The effect of treatment duration in the local control of cervix cancer. Radiother Oncol J Eur Soc Ther Radiol Oncol 1992;25:273e279.
23. Lanciano RM, Pajak TF, Martz K, et al. The influence of treatment time on outcome for squamous cell cancer of the uterine cervix treated with radiation: A patterns-of-care study. Int J Radiat Oncol Biol Phys 1993;25:391e397.
24. Perez CA, Grigsby PW, Castro-Vita H, et al. Carcinoma of the uterine cervix. I. Impact of prolongation of overall treatment time and timing of brachytherapy on outcome of radiation therapy. Int J Radiat Oncol Biol Phys 1995;32:1275e1288.
25. Petereit DG, Sarkaria JN, Chappell R, et al. The adverse effect of treatment prolongation in cervical carcinoma. Int J Radiat Oncol Biol Phys 1995;32:1301e1307.