Pre-Operative versus Postoperative Surgical Analgesia

Hiwa Omer Ahmed1, Ako Ibrahim Muhemad2

College of Medicine, University of Sulaimani, 2 Sulaimani Teaching Hospital Kurdistan Region\ Iraq  

Background; postoperative pain remain the most common dilemma for surgical patients, there are many
methods for control of pain, either by conventional postoperative analgesia or preoperative analgesia.
The aim; is to evaluate the benefit of Diclofenac as pre-operative analgesia in comparison to the
postoperative conventional treatments.
Methods and Patients; this study includes patients of different age and sex groups, underwent different
elective and emergency surgical operations,
They divided in to two groups:
- Group A (100 patients): controlled group, were received pre-operative analgesia.
- Group B (100 patients): compared group, were received the conventional analgesia.
Results; thirty eight percent of patients in group A have significant pain versus eighty six percent of the
patients in group B (P value 0.0000)
Preoperative analgesia as single dose of Diclofenac is more effective in control of postoperative pain
than conventional postoperative analgesia.
Conclusion; we could say that the pre-operative (pre-emptive) analgesia is safe, feasible, well tolerant,
less costly and more effective for the control of different types of the surgical pain.

Keywords; pain, pre-emptive analgesia, conventional analgesia. Diclofenac.

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