Is Tramadol Better Than Bupivicane in Reducing Post Operative Pain after Lichtenstien Mesh Hernioplasty When Administered in Wound; A Comparative Study

Abstract

Objective: To compared effect of bupivacaine with tramadol in reducing post-operative pain.
Material and Methods: This comparative study was conducted in General Surgery Department Gulab Devi Hospital Lahore from July 2021 to December 2021. A total of 50 patient diagnosed as case of inguinal hernia undergoing Lichtenstein mesh hernioplasty were recruited and divided into two equal groups (25 patients in each). In Group A injection tramadol 2mg/kg was injected in deep and superficial tissues of wound postoperatively while in Group B bupivacaine 0.25% (0.2ml/Kg) was injected. No analgesic was injected immediately post operatively. Visual analogue score(VAS) for pain intensity was calculated at 2,3,4,5 and 6 hours postoperatively.Analgesia injection paracetamol was given only when patiet demanded or VAS was of 6.
Results: Mean duration of time period between operation and first dose of analgesic in Group Aand Group B was 4.60 ± 0.5 hours and 4.16 ± 0.37 hours respectively (p-value 0.001). The effect of locally administered tramadol was more as compared to bupivacaine.
Conclusion: Tramadol when infiltrated in wound post operatively had longer duration of action as compared to bupivacaine 4.60 ± 0.5 hours and 4.16 ± 0.37 hours respectively (p-value 0.001).