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Background and Aim: Laparoscopic sterilization is commonly performed procedure and optimum pain relief is necessary for early ambulation and discharge. We aimed to compare the analgesic efficacy of pre-emptive intravenous (IV) diclofenac sodium with intraoperative diclofenac sodium in patients undergoing laparoscopic tubal ligation, to evaluate the requirement of additional analgesics in the postoperative period and to study the time required for ambulation. Methodology: It was a prospective Randomized Controlled, Double Blinded study done in 60 ASA1 and II female patients undergoing laparoscopic tubal ligation under general anaesthesia. These patients were randomly divided in two groups of 30 each. Group A received pre-emptive IV diclofenac sodium (75mg) and group B received intraoperative IV diclofenac sodium (75mg). Results: There was a significant decrease in postoperative pain in the group who received pre-emptive diclofenac sodium as compared to the group which received intraoperative diclofenac sodium. The statistically significant decrease in both the pain scores was persistent till 24 hours postoperatively. The group receiving pre-emptive diclofenac sodium showed significant reduction in the requirement of rescue analgesic as compared to the other group. Also the ambulation time was significantly less in pre-emptive group. Conclusion we conclude that pre-emptive IV diclofenac sodium was a better analgesic, associated with less postoperative pain, minimal requirement of rescue analgesics with early ambulation and hence shorter recovery time as compared to intraoperative diclofenac sodium in cases of laparoscopic tubal ligation.

Pre-Emptive Intravenous Diclofenac Sodium for Laparoscopic Tubal Ligation