Key result
Laparoscopic inguinal herniorrhaphy with tramadol infiltration reduces 12-hour pain scores ~71% vs open herniorrhaphy.
Why the study?
Does laparoscopic inguinal herniorrhaphy compared to open herniorrhaphy reduce postoperative pain when both receive wound infiltration of tramadol?
RCT (n=20)
Randomly divided
Does laparoscopic inguinal herniorrhaphy compared to open herniorrhaphy reduce postoperative pain when both receive wound infiltration of tramadol?
Absolute Event Rate: 1.5% vs 5.1%
Laparoscopic inguinal herniorrhaphy with tramadol wound infiltration results in significantly less postoperative pain at 12 hours and lower additional analgesic requirements compared to open herniorrhaphy.
Supports laparoscopic over open herniorrhaphy for lower 12-hour pain despite tramadol infiltration; extends RCT evidence on surgical approach effects with standardized analgesia.
Introduction: The laparoscopic approach may be associated with more postoperative pain initially. The aim of this study was to evaluate the effects of administered tramadol at wound closure on postoperative painand analgesic requirements under spinal anesthesia in laparoscopic inguinal herniorrhaphy (LH) or tension free open inguinal herniorrhaphy (TFOH).Methods: Twenty patients were randomly divided into two groups (n= 10 in each) as LH or TFOH. Patients received infiltration of 200 mg tramadol with 40 mL of 0.9% saline solution at wound closure procedure. Postoperative pain was assessed with a Visual Analog Scale (VAS) at 3, 6, 12, and 24 hours postoperatively. Additional requirements of tramadol for postoperative pain releif were registered.Results: VAS scores at postoperative 12 and 24 hours were signifi cantly higher according to 3rd hour VAS scores in both groups. The VAS scores at 12 hours after operation signifi cantly lower in LH group than inTFOH group (1.5 ± 0.97 vs 5.1 ± 0.99). Additional requirements of tramadol for postoperative pain releif were significantly lower in LH group.Conclusion: We conclude that wound infi ltration of 200 mg tramadol reduce postoperative pain in LH group.
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Sıvacı et al. (2012) conducted an RCT in Inguinal herniorrhaphy (n=20). Laparoscopic inguinal herniorrhaphy vs. Tension free open inguinal herniorrhaphy was evaluated on Visual Analog Scale (VAS) score at 12 hours postoperatively. Laparoscopic inguinal herniorrhaphy with tramadol wound infiltration resulted in significantly lower pain scores at 12 hours compared to open herniorrhaphy (VAS 1.5 vs 5.1).
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