Efficacy of Tramadol V/s Diclofenac in Management of Post Laparoscopic Cholecystectomy Pain

Introduction: Early post operative pain is the most common complain after elective laparoscopic cholecystectomy. The aim of this study is to determine the efficacy of intravenous tramadol compared to intravenous diclofenac for post operative pain relief. Materials and methods: A randomized doubled blinded study with a cohort of 50 patients was carried out at Teerthankar Mahaveer Medical Hospital, Moradabad between August 2012 and September 2013. Intravenous tramadol 50 mg or intravenous diclofenac 75 mg were eight hourly given to randomly allocated groups after laparascopic cholecystectomy by draw of chits. VAS score was taken at 4, 12, 20 and 28 hours. Data was analysed using SPSS version 16. Results: A significant difference in VAS scores was found at 12 hour post operative (p= 0.0007) with tramadol being more efficacious but having increased incidence of nausea and vomiting. Conclusion: Tramadol an analgesic acting on opioid receptor appears to be more efficacious in providing pain relief post laparoscopic cholecystectomy over diclofenac.

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