Does wound infi ltration of tramadol reduce postoperative pain in laparoscopic or open herniorrhaphy?

Authors

  • Remziye Sıvacı Department of Anesthesiology and Reanimation, Kocatepe University, School of Medicine, Afyon, Turkey
  • Erol Eroglu Department of General Surgery, Suleyman Demirel University, School of Medicine, Isparta, Turkey
  • Lutfi Yavuz Department of General Surgery, Suleyman Demirel University, School of Medicine, Isparta, Turkey
  • Fusun Eroglu Department of General Surgery, Suleyman Demirel University, School of Medicine, Isparta, Turkey
  • Yaşar Sıvacı Hospital of Pulmonary Disease, Afyon,Turkey

DOI:

https://doi.org/10.17532/jhsci.2012.50

Keywords:

laparoscopy herniorrhaphy, postoperative pain, tramadol

Abstract

Introduction: The laparoscopic approach may be associated with more postoperative pain initially. The aim of this study was to evaluate the effects of administered tramadol at wound closure on postoperative pain
and analgesic requirements under spinal anesthesia in laparoscopic inguinal herniorrhaphy (LH) or tension free open inguinal herniorrhaphy (TFOH).
Methods: Twenty patients were randomly divided into two groups (n= 10 in each) as LH or TFOH. Patients received infiltration of 200 mg tramadol with 40 mL of 0.9% saline solution at wound closure procedure. Postoperative pain was assessed with a Visual Analog Scale (VAS) at 3, 6, 12, and 24 hours postoperatively. Additional requirements of tramadol for postoperative pain releif were registered.
Results: VAS scores at postoperative 12 and 24 hours were signifi cantly higher according to 3rd hour VAS scores in both groups. The VAS scores at 12 hours after operation signifi cantly lower in LH group than in
TFOH group (1.5 ± 0.97 vs 5.1 ± 0.99). Additional requirements of tramadol for postoperative pain releif were significantly lower in LH group.
Conclusion: We conclude that wound infi ltration of 200 mg tramadol reduce postoperative pain in LH group.

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Published

15.09.2012

Issue

Section

Research articles

How to Cite

1.
Does wound infi ltration of tramadol reduce postoperative pain in laparoscopic or open herniorrhaphy?. JHSCI [Internet]. 2012 Sep. 15 [cited 2024 Dec. 5];2(2):127-31. Available from: https://www.jhsci.ba/ojs/index.php/jhsci/article/view/69