• Users Online: 124
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2016  |  Volume : 3  |  Issue : 3  |  Page : 79-82

Efficacy of triamcinolone acetonide vs bupivacaine local infiltration for early postoperative pain control after lumbar disectomy: A prospective randomized double-blind study


1 Assistant Professor, Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India
2 Professor, Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India
3 Associate Professor, Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India

Correspondence Address:
D N Varadaraju
Assistant Professor, Department of Neurosurgery, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1096

Rights and Permissions

Introduction: The management of pain after lumbar discectomy is a controversial subject. Effective postoperative analgesia is associated with lower rate of morbidity and results in shorter hospitalization, reducing overall cost. Wound infiltration widely used for the purpose is 0.25 or 0.5% bupivacaine and triamcinolone acetonide. We felt the need for a study to compare both in terms of their efficacy in our setup. Materials and methods: This is a prospective randomized, double-blind study comprising 60 patients of single-level prolapsed intervertebral disk, admitted in the Department of Neurosurgery at Vydehi Institute of Medical Sciences and Research Center, Bengaluru. Sample size: A t otal o f 6 0 c ases w ere t aken a nd d ivided into two groups. Thirty cases in group A were infiltrated by a mixture of 50 mg of triamcinolone in 5 mL of normal saline. Thirty cases in group B were infiltrated by a mixture of 5 mL of 0.5% bupivacaine and 5 mL of normal saline. Results: The time interval between surgery and first dose of opiate analgesia was significantly higher in the bupivacaine group (5 h 31 min ± 1 h 14 min) compared with the triamcinolone group (3 h 20 min ± 40 min). The visual analog pain scale (VAS) scores at 2nd hour (group A 2.034 ± 0.84 vs group B 0.931 ± 0.64) and 4th hour (group A 4.104 ± 0.97 vs group B 2.314 ± 1.14) were also found to be significantly lower in the bupivacaine group compared with the triamcinolone group. However, there was no significant difference in the amount of total opiate analgesic consumption in 24 hours (258 vs 248 mg). Conclusion: In the present study, the data suggest that intraoperative local infiltration of bupivacaine is safe and provides significant analgesia in the early postoperative period when compared with triamcinolone acetonide. Clinical significance: Based on the results of this study, we made departmental protocol to infiltrate all operative lumbar cases with bupivacaine.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed244    
    Printed25    
    Emailed0    
    PDF Downloaded56    
    Comments [Add]    

Recommend this journal