Abstract:

Inadequate pain management delays postoperative recovery and causes prolongation of stay in the hospital. In our study, we planned to compare postoperative analgesic effects of preemptive administered intravenous paracetamol and intravenous tenoxicams in day-case operative hysteroscopy cases retrospectively. Data records of patients who were taken to operative hysteroscopy surgery between the dates 01.01.2016-01.08.2016, 20-60 aged, ASA physical status classification I-II, 15 mg/kg paracetamol or 0.5 mg/kg administered to the patient intravenously 30 minutes before the surgery and who underwent general anesthesia in the same standard were examined. Patients were divided into Group P who received paracetamol and Group T who received tenoxicam. Patients were evaluated for demographic data, duration of anesthesia, intraoperative and postoperative additional analgesic requirement, Visual Analoque Scale (VAS) values and side effects. Seven patients (8.42%) in Group P and 10 patients (12%) in Group T were found to need intraoperative additional analgesia. Twenty-two patients (26.52%) in Group P and 14 patients (16.86%) in Group T were found to require additional postoperative analgesia. Postoperative 15th min. and 30th minute. Visual Analoque Scale scores of Group T were found statistically significantly lower than Group P (p<0.05). The number of patients who received tramadol due to postoperative VAS> 4 was higher in Group P than in Group T. Tenoxicam administered preemptively in day-case operative hysteroscopy cases is more effective than paracetamol in postoperative analgesia.

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