Post-herniorrhaphy infiltration of tramadol versus bupivacaine for postoperative pain relief: a randomized study

BACKGROUND AND OBJECTIVES: Inguinal hernia repair is frequently associated with persistent postoperative discomfort and pain and late discharge from the hospital. We evaluated the postoperative analgesic effect of local wound infiltration with tramadol following herniorrhaphy among adult patients. P...

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Bibliographic Details
Published in:Annals of Saudi medicine 2008-05, Vol.28 (3), p.165-168
Main Authors: Kaki, Abdullah M., Al Marakbi, Waleed
Format: Article
Language:English
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Summary:BACKGROUND AND OBJECTIVES: Inguinal hernia repair is frequently associated with persistent postoperative discomfort and pain and late discharge from the hospital. We evaluated the postoperative analgesic effect of local wound infiltration with tramadol following herniorrhaphy among adult patients. PATIENTS AND METHODS: Forty-three adult male patients were randomly assigned to two groups; group T (n=23) received tramadol 1 mg/kg in 10 mL 0.9% normal saline and group B (n=20) received 10 mL of 0.25% bupivacaine, both as a local wound infiltration prior to skin closure. Postoperatively, pain severity, time to first analgesic requirement, analgesic consumption, and incidence of side effects were recorded. RESULTS: During the first postoperative day, there was a significant difference between the two groups in the recorded visual analog scale rating higher in group B (P
ISSN:0256-4947
0975-4466
DOI:10.5144/0256-4947.2008.165