COMPARISON OF THE EFFICACY OF TRAMADOL AND DICLOFENAC IN RELIEVING POSTOPERATIVE PAIN OF LAPAROSCOPIC CHOLECYSTECTOMY.

Tramadol and diclofenac are effective analgesics for pain relief of any complication, however, there are few studies showing the superiority of one over the other. This study aimed to evaluate and compare the analgesic efficacy of diclofenac and tramadol for postoperative pain treatment of laparoscopic surgery of cholecystectomy. There were 120 patients recently operated by laparoscopic surgery of cholecystectomy, who were randomly distributed in two groups: tramadol and diclofenac, administered intramuscularly for a maximum period of five days and demographic and clinical data were collected, as well as the pain evolution during the study period using the verbal numerical scale (VNS) and the functional activity scale (FAS). The results showed a predominance of the male population and an excess of patients with obesity in the tramadol group, and there were no significant differences between the analgesics, but a faster acceptance was observed with tramadol. In conclusion, tramadol is slightly superior to diclofenac, but it cannot be affirmed because there were no significant differences, more studies combining both and comparing them with placebos are suggested.