The Comparative Effects of Transdermal and Intramuscular Diclofenac for Postoperative Analgesia in Patients Undergoing Laparoscopic Cholecystectomy
Journal Title: MVP Journal of Medical Sciences - Year 2018, Vol 5, Issue 1
Abstract
Aims and Objectives: To compare the analgesic effectiveness of transdermal diclofenac patch and intramuscular diclofenac in patients undergoing laparoscopic cholecystectomy. To compare the adverse effects of transdermal Diclofenac patch and intramuscular diclofenac. Methods: Sixty ASA I and II patients of either sex aged eighteen to sixty years ready for laparoscopic cholecystectomy were enclosed during this study. Patients were divided into 2 groups, A (n = 30) received transdermal diclofenac patch (100 mg) three hours before surgery B (n = 30) intramuscular diclofenac (75 mg) was given forty five minutes before surgery. Postoperative pain was assessed using Visual Analogue Scale (VAS). Adverse effects were noted over a period of twelve hours. Patients with VAS score greater than 3 received intravenous tramadol 2mg/ kg to relieve pain. Results: In each group the VAS scores were higher for ten hours post surgery. There was no significant difference in the surgical pain in both the groups. There was no significant difference in both the groups statistically for the need of rescue analgesia. Erythema was observed in group A patients whereas pain at injection site and rubor was observed in group B who received the injection diclofenac.Conclusion: Diclofenac skin patch and IM injection are unit comparable in terms of effectiveness for pain relief in surgical laparoscopic cholecystectomy patients. Transdermal patch is thought of as an efficient, non-invasive and value effective means of managing surgical pain.
Authors and Affiliations
Aditi Maruti Abnave, Sunita Sunil Sankalecha
Keywords
Related Articles
- EP ID EP429514
- DOI 10.18311/mvpjms/2018/v5i1/10839
- Views 134
- Downloads 0
A Clinical Profile of Typhoid Perforation of Bowel in a Tertiary Care Centre
Background and Aims: Salmonella typhi causes an estimated 22 million cases of typhoid fever and 216000 deaths annually worldwide1 and in developing countries, typhoid bowel perforation is an important surgical problem. T...
Inclusions of Social Determinants for Public Health Care Approach: Does it Really Matter?
The National health policy accepted by the honorable Indian parliament in 1983 states health care as the main device for achieving sustainable development of the community. It is a known factor that development of any so...
A Clinical Study of Incisional Hernia
Background: Incisional Hernias are common complication of andominal surgery. Depending on the risk factors Incisional Hernia can occure in 10 - 20 % of patients subjected to abdominal operations. Aims and Objective: A cl...
A Study Evaluation of Tubal Factors of Infertility by Hysterosalpingography and Diagnostic Laparoscopy
Background: Reproductive endocrinologist, consider a couple to be infertile if the couple has not conceived after 12 months of contraceptive free intercourse if the female is under the age of 34 years. The incidence of i...
A Study of the Haemodynamic Response to Oral Clonidine as Pre–medication in Laparoscopic Surgeries
Introduction: Laparoscopic surgery is a boon for surgeons as it reduces tissue trauma, post–operative morbidity, hospital stay and healthcare costs. However, it is not possible to perform a laparoscopic procedure unless...