Comparison Of Diclofenac Suppository with Injection Tramadol In Postoperative Pain

Abstract

Pain and damage to tissue structure is frequently observed after surgical procedures. Management of postoperative pain has always been remained a challenge to surgeons because of its detrimental effect on patient’s satisfaction, early mobilization and regaining of functionality. Objective: To compare the analgesic efficacy of diclofenac suppository with injection tramadol 100 mg for postoperative pain relief after abdominal surgeries. Methods: This Randomized Double-Blind Controlled Trial was conducted upon a sample of 98 patients, aged 12 to 60 years and undergoing abdominal surgery (elective and emergency) divided into two groups (Group A: Diclofenac Suppositories 100 mg, and Group B: Injection Tramadol 100 mg), of 49 patients each. Visual Analogue Scale (VAS) was used for measuring the severity of pain at 0, 1, 6, 12, 18 and 24 hours, following surgeries. Results: The mean age of the sample stood at 31 (SD ± 03) years, with most of the sample comprising of males (72.45%). Postoperative pain was experienced by patients in both groups, with group A reporting less severe pain than group B but no statistical difference was found between the severity. Conclusion: After careful consideration, it may be concluded that both agents, namely Diclofenac Suppositories 100 mg, and Injection Tramadol 100 mg are efficacious at managing the postoperative pain hence both may be used interchangeably or in conjunction among patients undergoing abdominal surgeries.