Pre-Operative versus Postoperative Surgical Analgesia


  • Hiwa Omer Ahmed College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. Author
  • Ako Ibrahim Muhemad Sulaimani Teaching Hospital, Kurdistan Region, Iraq. Author



Pain, Pre-emptive analgesia, Conventional analgesia, Diclofenac


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.


Ronald D. Miller; "Anesthesia" .5th edition; 2000; 3; P 2323, by Churchill Livingston,. New York

Russell. Bailey & Love" Short Ppacice of Surgery" 24th Edition 2004, 52, 1446-1448. Anold,

Mark C. Horattas et al. /Pre-empetive analgesia The American Journal of surgery 2004, 188, 271-276.

Jale Bengi Celik, Niyazi Gormus, Zulfikare Isik Gormus, Selmin Okesli and Hasan Solak:,treating postoperative pain by preventing the establishment of central sensitizationThe Journal of Cardiothoracic and vascular anesthesia,2005,19(1),67-70.

Allan Gottschalk: Up date on preemptive analgesia anesthesiology;2003,7, 116-121. 6. Gottschalk A, Smith DS: New Concepts in acute pain therapy: Preemptive analgesia Am Fam Phys 2001; 63:1079-1084.

Holger Holthusen, Peter Backhaus, Frank Boeminghaus, Maria Breulmann, and Peter Lipfert: Preemptive Analgesia: No relevant advantage of preoperative compared with postoperative intravenous administration of morphine,ketamine, and clonidine in patients undergoing transperionial tumor nephrectomy: Regional Anesthesia and Pain Medicine, 2002, 27(3) , 249-253.

Chandra K.Pandey,Shio Priye, Surendra Singh, Uttam Singh, Ram B. Singh, Prabhat K. Sigh; Preemptive use of gabapentin significantly decreases post operative pain and rescure analgesic requirement in laparoscopic cholecystectomy; Can J Anesthesia 2000 ,51( 4) 358-363.

Puura A, Puolakka P, Rorarius M, Salmelin R, Lindgren Etoricoxib pre-medication for post-operative pain after laparoscopic cholecystectomy.Acta Anaesthesiol Scand. 2006,50(6):688-93.

Slingsby LS, Murison PJ, Goossens L, Engelen M, Waterman-Pearson AE. A comparison between pre-operative carprofen and a long-acting sufentanil formulation for analgesia after ovariohysterectomy in dogs.Vet Anaesth Analg.


Bonaventura MA, Vallejo MC, Phelps AL, Sah N, Romeo RC, Falk JS, Johnson RR, Edington HD,Keenan ,DM Preemptive analgesia with bupivacaine for segmental mastectomy.Reg Anesth Pain Med. 2006 ,31(3):227-32

MSParina Bajaj,MDChetna,Comparison of the effects of parecoxib and diclofenac in preemptive analgesis,Current Therapeutic Research, 2004, 65,issue 5,:383-397,



How to Cite

Pre-Operative versus Postoperative Surgical Analgesia. (2007). Journal of Zankoy Sulaimani, 11(1), 127-134.