Post-operative analgesia in case of ano-rectal diseases

The aim of the study was that to evaluate the post-operative pain in case of ano-rectal diseases wether treated by ketorolac, or buprenorphine or tramadol. The intensity of post-operative pain was evaluated in 60 patients with hemorrhoidal diseases, fistulae, abscesses and anal neoplasms, divided in...

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Veröffentlicht in:Annali italiani di chirurgia 2009-11, Vol.80 (6), p.459-61; discussion 461
Hauptverfasser: Rossitto, Maurizio, Pantè, Sebastiano, Manfrè, Antonino, Ciccolo, Antonio
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container_end_page 61; discussion 461
container_issue 6
container_start_page 459
container_title Annali italiani di chirurgia
container_volume 80
creator Rossitto, Maurizio
Pantè, Sebastiano
Manfrè, Antonino
Ciccolo, Antonio
description The aim of the study was that to evaluate the post-operative pain in case of ano-rectal diseases wether treated by ketorolac, or buprenorphine or tramadol. The intensity of post-operative pain was evaluated in 60 patients with hemorrhoidal diseases, fistulae, abscesses and anal neoplasms, divided into three homogenous groups and treated with intramuscular ketorolac (Group I), transdermal buprenorphine (Group II) and tramadol in elastomeric pump (Group III). The average index of the visual analogue scale, as mean to evaluate the intensity of the post-operative pain, was 1,85 in the first group, 1,20 in the second one and 1,40 in the third group. In patients treated with transdermal buprenorphine or with tramadol in elastomeric pump there has been a more quick psycho-physical recovery than in those treated with ketorolac; the management of elastomeric pump represents however for patients cause of concern while the transdermal system is a kind of rational and comfortable way of treatment of the pain, with the advantage of being non-invasive. Better compliance and lower operating costs have given the preference to the use of transdermal buprenorphine for the treatment of diseases of the post-operative pain in the diseases of the anal canal.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adolescent
Adult
Aged
Analgesia
Analgesics, Opioid - therapeutic use
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Anus Diseases - surgery
Buprenorphine - therapeutic use
Female
Humans
Ketorolac - therapeutic use
Male
Middle Aged
Pain, Postoperative - prevention & control
Rectal Diseases - surgery
Tramadol - therapeutic use
Young Adult
title Post-operative analgesia in case of ano-rectal diseases
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