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August 18, 2009European Journal of Anaesthesiology

The effects of gabapentin on acute and chronic pain after inguinal herniorrhaphy

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Key result

Preoperative single-dose gabapentin significantly reduced acute postoperative pain, tramadol consumption, and long-term pain scores up to 6 months compared with placebo (P<0.05).

Why the study?

Does preoperative single-dose gabapentin reduce acute and chronic postoperative pain in male patients undergoing inguinal herniorrhaphy?

Population

60 male patients, aged 20-40 years, scheduled for unilateral inguinal herniorrhaphy under spinal anaesthesia

Comparison

Single-dose 1.2 g oral gabapentin 1 h before… vs Placebo capsule 1 h before surgery

Design

RCT, Randomly allocated to two groups, Double-blind

Follow-up

6 months

Authors

HŞHüseyin ŞenASAli SzlanÖYÖmer Yanarateş

Discussion

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Overview

Supports preoperative gabapentin for inguinal herniorrhaphy to cut acute and chronic pain; extends RCT evidence for perioperative gabapentinoids.

Study Design

Type

RCT (n=60)

Blinding

Double-blind

Randomization

Randomized

Structured PICO

Does preoperative single-dose gabapentin reduce acute and chronic postoperative pain in male patients undergoing inguinal herniorrhaphy?

P
Population
60 male patients aged 20-40 years scheduled for unilateral inguinal herniorrhaphy under spinal anesthesia, followed for 6 months.
I
Intervention
Single-dose 1.2 g oral gabapentin 1 h before surgery
C
Comparator
Placebo capsule 1 h before surgery
O
Outcome
Postoperative analgesia evaluated during sitting and lying with a visual analogue scale (VAS) up to 24 hours, and postoperative pain at 1, 3 and 6 months with an 11-point numerical rating scale (NRS)patient reported

Main Result

p-value: p=<0.05

Preoperative single-dose gabapentin effectively reduces both acute postoperative pain and chronic pain up to 6 months after inguinal herniorrhaphy.

Cite This Study

Şen et al. (2009) conducted an RCT in Inguinal herniorrhaphy (n=60). Gabapentin vs. Placebo was evaluated on Visual analogue scale scores (lying and sitting) and total tramadol consumption at 8, 12, 16, 20 and 24 h after surgery (p=<0.05). Preoperative single-dose gabapentin significantly reduced acute postoperative pain, tramadol consumption, and long-term pain scores up to 6 months compared with placebo (P<0.05).

synapsesocial.com/papers/6a75c69a650b5ffb848b839dhttps://doi.org/10.1097/eja.0b013e32832ad2fa
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prospective study of chronic pain after groin hernia repair1999 · 396 citations
  2. 2The Analgesic Effects of Gabapentin After Total Abdominal Hysterectomy2004 · 221 citations
  3. 3Recurrence and Pain Three Years after Groin Hernia Repair. Validation of Postal Questionnaire and Selective Physical Examination as a Method of Follow-up2002 · 116 citations
  4. 4Preventive Analgesia to Reduce Wound Hyperalgesia and Persistent Postsurgical Pain2005 · 119 citations
  5. 5The Analgesic Effects of Perioperative Gabapentin on Postoperative Pain: A Meta-Analysis2006 · 308 citations