• Users Online: 204
  • Print this page
  • Email this page
Year : 2017  |  Volume : 3  |  Issue : 3  |  Page : 113-118

Comparison of diclofenac patch and intramuscular diclofenac for postoperative analgesia in abdominal hysterectomy under spinal anesthesia: A prospective, randomized clinical study

1 Resident, Department of Anesthesiology, Sir Takhtsinhji General Hospital and Government Medical College, Bhavnagar, Gujarat, India
2 Associate Professor, Department of Anesthesiology, Sir Takhtsinhji General Hospital and Government Medical College, Bhavnagar, Gujarat, India
3 Professor, Department of Anesthesiology, B.J. Medical College Ahmedabad, Gujarat, India
4 Fellow, Daradia : The Pain Clinic, Kolkata, West Bengal, India

Correspondence Address:
Palak Chavda
Fellow, Daradia : The Pain Clinic, Kolkata, West Bengal
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.5005/jp-journals-10046-0082

Rights and Permissions

Introduction: Immediate postoperative period is very crucial and pain is maximum during first 24 hours. If patients are kept pain free during this period, it leads to vitally stable postoperative period, which in turn leads to early recovery. The aim of this study was to compare the analgesic efficacy of diclofenac sodium via two different routes, intramuscular (IM) and transdermal, in the management of postoperative pain. Materials and methods: After informed written consent, 60 patients of American Society of Anesthesiologists (ASA) grades I to III scheduled for abdominal hysterectomy under subarachnoid blockade were randomized into two groups. Group TP (n= 30) received transdermal diclofenac patch 3 hours before surgery and group IM (n = 30) received IM diclofenac sodium 30 minutes before the end of surgery. Transdermal or IM diclofenac was repeated 12 hours later. Postoperative visual analog scale (VAS) scores, hemodynamic data, requirement of rescue analgesic, patient satisfaction, and adverse reaction if any were recorded every 2 hourly over 24 hours period. If VAS values were >4, 2 mg/kg tramadol was given intravenously as rescue analgesia. Results: Postoperative VAS, hemodynamic data, requirement of rescue analgesia, and patients' satisfaction were comparable in both the groups (p > 0.05). Intramuscular diclofenac has more side effects. Conclusion: Diclofenac transdermal patch provided postoperative pain relief as effectively as IM diclofenac for abdominal hysterectomy, without any significant side effects.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded59    
    Comments [Add]    

Recommend this journal