Sonographic Evaluation of Clinically Occult Inguinal Hernias in Patients With Scrotal Pain and Normal Scrotal Color Doppler Sonography

Mansori, Mehran; Bagheri, Seyed Hamid Seyed

doi:10.13005/bbra/2307

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“…The pain involves different parts of the body including membranous and visceral organs as well as shoulder, which is affected by various factors such as the nature of disease, factors related to operation, the amount of remaining gas, and its type. [ 11 13 ] For this reason, treatment of pain is one of the most important concerns of therapeutic staff for the comfort and convenience of patients. The aim of the present research was to compare the administration effect of 150 mg oral gabapentin and 100 mg intravenous hydrocortisone prior to operation on postoperative pain control after laparoscopic cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

Effect of gabapentin in comparison with hydrocortisone on postlaparoscopic cholecystectomy pain control

Ghadami

Barzanji

Nasseri

et al. 2019

J Family Med Prim Care

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Background and Aim:Although laparoscopic cholecystectomy causes less pain than open cholecystectomy, it is still not completely painless. Several methods have been used to relieve the pain of laparoscopic surgery. The aim of this research was to compare the effect of gabapentin and hydrocortisone on pain control after laparoscopic cholecystectomy.Materials and Methods:In this double-blind clinical trial, a total of 60 adult patients aged 18–70 years from both sexes American Society of Anesthesiologists Classification (ASA Classification 1 and 2) who were selected for laparoscopic cholecystectomy were divided into two groups of 30 subjects to be studied. 150 mg gabapentin and 100 mg hydrocortisone were administered to the first and second groups before the operation, respectively. Pain score and vital signs (systolic blood pressure and heart rate) were recorded. Data were fed into SPSS 23 software and analyzed using Fisher-test, independent t-test, and repeated measurement. P < 0.05 was considered as significance level.Results:Patients were similar in terms of age and sex. Mean score of visual analog scale (VAS) in the first 4 h after operation was 5.84 ± 2.33 and 5.20 ± 1.74 in the gabapentin group and was 7.03 ± 1.23 and 6.50 ± 1.30 in the hydrocortisone group (P < 0.05), respectively. Although mean VAS scores at 6, 12, and 18 h after operation showed no significant differences between gabapentin and hydrocortisone groups (P > 0.05), VAS score 24 hours after operation was 2.87 ± 1.57 and 3.92 ± 1.28 in gabapentin and hydrocortisone groups, respectively (P < 0.05), indicating a significant difference in VAS score between the two groups 2 and 24 h postoperation.Conclusion:The results of this study showed that gabapentin was more effective than hydrocortisone within the first 4 h of laparoscopic cholecystectomy. In addition, gabapentin was shown to be a better pain controller 24 h postoperation.

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Section: Discussionmentioning

confidence: 99%