PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 67, No. 2, APRIL 2017

POST-OPERATIVE ANALGESIC REQUIREMENT IN NON-CLOSURE AND CLOSURE OF PERITONEUM DURING OPEN APPENDECTOMY

Abdul Waheed Khan, Rasikh Maqsood*, Muhammad Mudasir Saleem**, Mishal Pervaiz***

Abstract

Objective: To compare the mean post-operative analgesic requirement in non-closure and closure of peritoneum during open appendectomy.
Study Design: Randomized controlled trial.
Place and Duration of Study: Department of General Surgery Combined Military Hospital Quetta, from 1st August 2014 to 30th April 2015.
Material and Methods: A total of 60 patients were included in this study and were divided into two groups of 30 each. Patients in group A underwent open appendectomy with closure of peritoneum while patients in group B had non-closure of peritoneum during the same procedure. Post-operatively, pain severity was assessed on visual analogue scale (VAS) numeric pain distress scale. On presence of VAS numeric pain distress scale between 5 to 7, intramuscular (IM) diclofenac sodium was given and on score >7, intravascular (IV) tramadol was given. The final outcome was measured at day 0 and day 1.
Results: Pain score and analgesic requirements were significantly less in non-closure group than closure group on day 0 and day 1, showing statistically significant difference between the two groups.
Conclusion: Mean post-operative analgesic requirement is significantly less in non-closure group as compared to closure group during open appendectomy.

Keywords : Analgesic, Appendectomy, Peritoneum, Post-operative,.



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