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 painand 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 inTFOH 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.
Highlights
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)
There is no available literature concerning the magnitude of pain in LH and TFOH after wound infiltration of tramadol postoperatively
Summary
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). Additional requirements of tramadol for postoperative pain releif were significantly lower in LH group. Conclusion: We conclude that wound infiltration of 200 mg tramadol reduce postoperative pain in LH group. Pain after laparoscopic procedure is significantly less and shorter than that caused by the same surgical procedure made possible by open surgery [2]. Laparoscopic surgery, a minimally invasive technique, Submitted 18 May 2012 / Accepted 15 July 2012 is associated with reduced surgical trauma [3]. Infiltration of tramadol into the surgical wound reduces postoperative pain with very few side effects [4]. The effect of wound infiltration of tramadol following LH provides better postoperative analgesia than open herni-
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