87433
document
Comparison of diclofenac sodium and morphine sulphate for postoperative analgesia after day case inguinal hernia surgery . Postoperative pain may be a significant reason for delayed discharge from hospital , increased morbidity and reduced patient satisfaction with ambulatory hernia surgery . This study compared two postoperative oral analgesic protocols after day case inguinal hernia repair ; 30 mg morphine sulphate ( MST ) and 10 mg metoclopramide every 8 h for 48 h or 75 mg diclofenac twice daily for 48 h. The pain reported in the MST group was significantly greater on both the day of operation and the first postoperative day ( P < 0.05 , Mann-Whitney U test ) . A significantly higher proportion of patients taking MST complained of nausea on the day of operation and on the 1st postoperative day ( P < 0.05 , chi 2 ) . The time taken to walk , dress and leave home alone were achieved in a significantly shorter duration in patients taking diclofenac . We conclude that diclofenac provides effective analgesia , has a more acceptable side-effect profile than morphine sulphate and is the treatment of choice after ambulatory hernia surgery .
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Intervention_Pharmacological
diclofenac sodium and morphine sulphate
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Intervention_Pharmacological
30 mg morphine sulphate ( MST )
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Intervention_Pharmacological
10 mg metoclopramide
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Intervention_Pharmacological
75 mg diclofenac
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Intervention_Pharmacological
MST
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Intervention_Pharmacological
MST
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Intervention_Pharmacological
diclofenac .
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Intervention_Pharmacological
diclofenac
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Intervention_Pharmacological
morphine sulphate
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Outcome_Other
postoperative analgesia
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Outcome_Pain
Postoperative pain
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Outcome_Pain
pain reported
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Outcome_Adverse-effects
nausea
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Outcome_Physical
time taken to walk , dress and leave home alone
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Outcome_Other
analgesia
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Participant_Condition
inguinal hernia surgery
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Participant_Condition
ambulatory hernia surgery
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Participant_Condition
day case inguinal hernia repair
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Participant_Condition
patients taking MST