Comparison of Post-Operative Pain with Diclofenac Rectal Suppository vs Intravenous Tramadol in Patients Undergoing Inguinal Hernioplasty

Abstract

Background: Pain is a highly intricate and distressing sensation that is subjective. There is uncertainty observed in the selection of optimal methods for intra and post-operative administration of analgesics for inguinal hernia repair surgery. Objective: To compare the mean postoperative pain score in diclofenac rectal suppositories with intravenous tramadol in patients undergoing inguinal hernioplasty. Study Design: Randomized control trial. Settings: Department of Surgery, Allied Hospital, Faisalabad Pakistan. Duration: From November 25, 2022 to May 25, 2023. Methods: After approval of the ethical board, patients from OPD / emergency were enrolled. All the patients undergo inguinal hernioplasty under regional anesthesia. In group A, patients received diclofenac rectal suppository 100 mg, and in group B, patients received intravenous tramadol 100 mg. The visual analog scale was explained to the patients. Pain was assessed after the 2nd, 6th, and 12th hour of hernioplasty. All the information noted on proforma. Results: Comparison of the mean post-operative pain score shows 3.67 ± 0.48 in Group A and 2.40 ± 0.50 in Group B at 2 hours, p-value 0.000, 3.64 ± 0.49 in Group A and 3.43 ± 0.50 in Group B at 6th Hour, p-value was 0.605, 3.30 ± 0.47 in Group A and 4.0 ± 0.79 in Group B at 12th hour, p-value=0.000. Conclusion: We concluded that diclofenac rectal suppository is significantly better than intravenous tramadol in patients undergoing inguinal hernioplasty in terms of mean postoperative pain score.