Authors :
Dr. Junior Sundresh N.; Sudharsan S.; Kalaikumar K.
Volume/Issue :
Volume 10 - 2025, Issue 8 - August
Google Scholar :
https://tinyurl.com/2ccjnexz
Scribd :
https://tinyurl.com/yvzfmcxz
DOI :
https://doi.org/10.38124/ijisrt/25aug288
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Note : Google Scholar may take 30 to 40 days to display the article.
Abstract :
This study looked at how well intramuscular diclofenac works for reducing pain after surgery for an inguinal
hernia. The research was done at a large hospital that provides advanced medical care. It involved 50 adult patients who
had their hernia repaired. Each person got 75 mg of diclofenac injected into the muscle every 8 hours for 24 hours after the
operation. Pain was measured using a scale called the Visual Analog Scale (VAS) before the first dose and again at 1, 4, and
24 hours after. The study also checked for any side effects by tracking vital signs and noting any unwanted reactions. The
findings showed that pain levels decreased a lot. On average, pain scores went from 7.4 before the treatment to 2.1 after 24
hours (p < 0.001). Most patients felt their pain was well-controlled. Some patients had mild side effects like soreness at the
injection site in 8% of cases and mild stomach discomfort in 4%. There were no serious side effects or cases where patients
had to stop the treatment. In summary, the study found that using diclofenac injections is a good and safe way to manage
pain after hernia surgery. It works quickly and lasts for a long time, making it a good choice when oral pain medicine isn't
possible.
Keywords :
Postoperative Pain, NSAIDs, Analgesics, Pain Measurement, Visual Analog Scale.
References :
- S. Aleem, H. Rahman, and M. Qureshi, “Effectiveness of intramuscular diclofenac injection versus suppository in inguinal hernia: A randomized controlled trial,” Pak. J. Med. Health Sci., vol. 16, no. 3, p. 197, 2022.
- S. Mishra, R. Thomas, and M. Kothari, “Role of NSAIDs in ERAS: A systematic review,” Surg. Pract. Res., vol. 6, no. 2, pp. 105–110, 2024.
- M. Ahmed, S. Patel, and F. Iqbal, “Comparative study of diclofenac versus ketorolac intramuscularly,” Int. J. Res. Med. Sci., vol. 10, no. 4, pp. 976–980, 2022.
- A. Shetty and N. Prakash, “Intramuscular versus intravenous diclofenac in laparoscopic surgery,” Int. J. Basic Clin. Pharmacol., vol. 9, no. 6, pp. 890–894, 2020.
- P. Narzaree, B. Das, and T. Sharma, “Efficacy of transdermal patch versus intramuscular diclofenac in postoperative hernia pain,” Int. J. Basic Clin. Pharmacol., vol. 5, no. 7, pp. 2668–2672, 2016.
- J. Patel and A. Sharma, “Efficacy of intramuscular diclofenac in hernia surgery: A prospective study,” J. Pharmacol. Clin. Res., vol. 15, no. 3, pp. 001–005, 2023.
- K. Rana, R. Bhatt, and R. Meena, “Role of multimodal analgesia in day-care inguinal hernia surgery,” J. Clin. Diagn. Res., vol. 16, no. 6, pp. UC13–UC17, 2022.
- O. Ljungqvist, M. Scott, and K. C. Fearon, “Enhanced recovery after surgery: A review of analgesia strategies,” JAMA Surg., vol. 152, no. 3, pp. 292–298, 2017.
- T. Reisman, S. Messing, and J. Redan, “Morphine-sparing effects of intramuscular diclofenac following gynecologic laparotomy: A randomized trial,” J. Pain Palliat. Care Pharmacother., vol. 35, no. 1, pp. 23–29, 2021.
- J. Thomas, D. George, and S. Pillai, “Adverse effects of intramuscular NSAIDs: A real-world observational study,” Asian J. Pharm. Clin. Res., vol. 16, no. 2, pp. 121–126, 2023.
- M. Zaman, N. Khan, and S. Alam, “NSAID use in general surgery: A prospective analysis,” J. Clin. Pharmacol., vol. 60, no. 4, pp. 445–451, 2020.
- R. A. Moore, S. Derry, and P. J. Wiffen, “Nonsteroidal anti-inflammatory drugs and adverse effects: A review of GI and renal risks,” BMJ, vol. 351, p. h3399, 2015.
This study looked at how well intramuscular diclofenac works for reducing pain after surgery for an inguinal
hernia. The research was done at a large hospital that provides advanced medical care. It involved 50 adult patients who
had their hernia repaired. Each person got 75 mg of diclofenac injected into the muscle every 8 hours for 24 hours after the
operation. Pain was measured using a scale called the Visual Analog Scale (VAS) before the first dose and again at 1, 4, and
24 hours after. The study also checked for any side effects by tracking vital signs and noting any unwanted reactions. The
findings showed that pain levels decreased a lot. On average, pain scores went from 7.4 before the treatment to 2.1 after 24
hours (p < 0.001). Most patients felt their pain was well-controlled. Some patients had mild side effects like soreness at the
injection site in 8% of cases and mild stomach discomfort in 4%. There were no serious side effects or cases where patients
had to stop the treatment. In summary, the study found that using diclofenac injections is a good and safe way to manage
pain after hernia surgery. It works quickly and lasts for a long time, making it a good choice when oral pain medicine isn't
possible.
Keywords :
Postoperative Pain, NSAIDs, Analgesics, Pain Measurement, Visual Analog Scale.