Title: Comparision of Diclofenac Suppository on Pre-Operative and Post-Operative Analgesia in Hernia Patients

Authors: Dr Juniorsundresh, Dr S. Narendran

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.102

Abstract

Background: The goal of observe and evaluate the analgesic efficacy of diclofenac suppository on pre-operative and post-operative in hernia sufferers

Materials and Methods: 60 hernia patients were put in a prospective randomized control trials. First set 1 comprising of 30 sufferers receiving diclofenac suppository before surgical treatment. Second set 2 comprising of 30 sufferers receiving diclofenac suppository after surgical operation. Visual analogue scale (VAS) is used to compare and grade pain sensation.

Conclusion: we concluded that diclofenac suppository is greater effective in pre-operative than in post op hernia sufferers.

Keywords: Diclofenac suppository, hernia, visual analogue scale (VAS), pain control.

References

  1. Soll A.H., Wemstein W.M., Karata J and McCarthy D. NSAIDs and peptic ulcer disease. Ann Intern Med 1991; 16: 385-409.
  2. Gibson P., Weadington D. and Winney R.J. NSAIDs in the post operative period clinical expense and confirm risk. British Medical Journal 1993 Jul 24; 307(6898):257-258.
  3. Mitchell R.W.D. and Smith G. The control of acute post operative pain. British Journal of Anaesthesia 1998; 63:147-158.
  4. Lindgren U., Djupsjo H. Diclofenac for pain after hip surgery. Acta Orthopaedica Scandinavica 1985; 56: 28-31.
  5. Shorrock C.J. and Rees W.D.W. Mucosal adaptation to indomethacin induced gastric damage in man –Studies on morphology, blood flow and prostaglandin E2 metabolism. Gut 1992; 33:164-169..14.
  6. Power I., Cumming A.D., Pugh G.C., Effect of diclofenac on renal function and prostaglandin after surgery. British Journal of Anaesthesia 1992; 69:451-6.
  7. AAGBI guidelines for consent for anaesthesia 2006, Information to be provided to the patient. Page 14-16.
  8. Bone M.E., Fell D. A comparison of rectal diclofenac with intramuscular papava-retum or placebo for pain relief following tonsillectomy. Anaesthesia 1988; 43: 277-280.
  9. Charlton E. The management of postoperative pain. Update Anaesthesia 1997; 7: 1-7.
  10. Ejnell H., Bjorkman R., Wahlander L. and Hender J. Treatment of post operative pain with Diclofenac in uvulopalatopha-ryngoplasty. British Journal of Anaesthesia 1992; 68: 76-80.

Corresponding Author

Dr Juniorsundresh

Department of General Surgery, Rajah Muthiah Medical College and Hospital, Annamalai University, Annamalai Nagar – 608002, India