COMPARISON OF THE EFFICACY OF TRAMADOL AND DICLOFENAC IN RELIEVING POSTOPERATIVE PAIN OF LAPAROSCOPIC CHOLECYSTECTOMY

Area of Science:

• Pain Management
• Surgical Analgesia
• Pharmacology

Background:

• Postoperative pain management is crucial for patient recovery.
• Laparitic surgery, such as cholecystectomy, often requires effective analgesia.
• Limited comparative studies exist on the efficacy of tramadol versus diclofenac for this specific surgical context.

Purpose of the Study:

• To evaluate and compare the analgesic efficacy of tramadol and diclofenac.
• To assess pain relief in patients undergoing laparoscopic cholecystectomy.
• To investigate the impact on functional activity post-surgery.

Main Methods:

• A randomized controlled trial involving 120 patients.
• Patients received either tramadol or diclofenac intramuscularly for up to five days.
• Pain was assessed using the Verbal Numerical Scale (VNS) and Functional Activity Scale (FAS).

Main Results:

• The study included a predominance of males and more obese patients in the tramadol group.
• No statistically significant differences in overall analgesic efficacy were observed between tramadol and diclofenac.
• Tramadol demonstrated a trend towards faster pain acceptance compared to diclofenac.

Conclusions:

• Tramadol may offer a slight advantage in pain acceptance over diclofenac.
• Further research with larger sample sizes and placebo controls is recommended.
• Comparative studies combining both analgesics are needed to confirm superiority.