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Study aim
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A clinical trial to compare the effectiveness of normal saline with diclofenac suppository and bupivacaine on pain relief following laparoscopic herniorrhaphy surgery
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Design
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Forty patients who were candidates for laparoscopic herniorrhaphy, clinical trial with a control group, community-based and pragmatic, parallel groups, double-blind, randomized using table of random numbers
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Settings and conduct
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Patients candidate for laparoscopic herniorrhaphy at the Rasoul Akram Hospital, Tehran, were chosen. In this double-blind study, the participants and responsible for data collection are blinded to the type of treatment.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: The patients with ASA class one or two, who are candidate for laparoscopic herniorrhaphy.
Exclusion criteria: Allergy to the drugs studied; history of hypertension; history of uncontrolled diabetes; history of cardiovascular diseases; history of renal failure, history of cirrhosis; history of smoking or drug abuse; pregnant women.
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Intervention groups
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The control group are receiving 500 cc normal saline after surgery. The intervention group one are receiving 50 mg diclofenac suppository per 8 hours after surgery. The intervention group two are receiving 0.25% bupivacaine dissolved in 100 ml of physiologic serum after surgery.
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Main outcome variables
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Evaluation and comparison of pain relief based on the visual analog scale (VAS) 3, 8, 12, 16, 20 and 24 hours after the intervention between three studies groups.