الفهرس 
Anatomy& Physiology of PainOnly 14 pages are availabe for public view
 |  | from | 215 |  |  |
| | | from | 215 | | |
Abstract
SUMMARY
Post-caesarean section pain is an important issue in
obstetrics. Several studies have shown the importance of
adequate postoperative analgesia on mobilization,
rehabilitation, and decreasing the length of hospital stay. Large
amounts of opioid analgesic drugs are often required in the
management of intense post-operative pain. However this
option is associated with many side effects.
The aim of the study is to assess the effectiveness of
cesarean section wound infiltration with local tramadol or
lidocaine on post-operative pain relief in comparison with
placebo.
Populations of the study were comprised of 99 pregnant
full term female, going to have cesarean section.
All patients had cesarean section under spinal anesthesia
and received post-operative analgesia Diclofenac sodium
(ampoule -75mg) on demand according to visual analogue
scale. Pain was assessed using a 10cm visual analogue scale
(VAS) after 2, 4, 6, 12 and 24 hours post-operatively. The
amount of analgesic consumed after 2, 4, 6, 12 and 24 hours
was calculated in mg.The study population been randomized into 3
groups:
1-The 1st group A (n=33women):
The wound was infiltrated during skin closure with 20ml
of 0.9% saline. Patient received diclofenac sodium postoperative
according to visual analogue scale.
2-The 2nd group B (n=33women):
The wound was infiltrated during skin closure with 20 ml
of 1% lidocaine hydrochloride.
Patient received diclofenac sodium post-operative on
demand according to visual analogue scale.
3- The 3rd group C(n=33women) :
The wound was infiltrated during skin closure with 50mg
tramadol diluted in 20ml of 0.9 saline.
Patient will be received diclofenac sodium post-operative
according to visual analogue scale.
Present study revealed that:
The infiltration of the surgical wound of a cesarean
section with tramadol after giving spinal anesthesia provided
statistically significant degree of post -operative analgesia as shown by less pain scores and reduction in post-operative
analgesic use.
The infiltration of the surgical wound of a cesarean
section with lidocaine after giving spinal anesthesia provided no
statistically significant degree of post-operative analgesia as
shown by no significant reduction in pain scores and postoperative
analgesic use.
The use of tramadol wound infiltration in cesarean
section is a good choose for post-operative analgesia.