OBJECTIVES There are a number of potential advantages to performing hysteroscopy in an outpatient setting. However, the ideal approach, using local uterine anesthesia or rectal non-steroidal anti-inflammatory drugs, has not been determined. Our objective was to compare the efficacy of intrauterine lidocaine instillation with rectal diclofenac for pain relief during diagnostic hysteroscopy. ME...

BACKGROUND/AIM Acute pancreatitis is the most common adverse event of endoscopic retrograde cholangiopancreatography (ERCP). We aimed to evaluate the efficacy of intramuscular diclofenac sodium for prophylaxis of post-ERCP pancreatitis (PEP) in comparison to the rectal form. MATERIALS AND METHODS One hundred and fifty consecutive patients who underwent ERCP were enrolled in this single-center...

OBJECTIVES The aim of the present study was to assess the appropriate administration dose of non-steroidal anti-inflammation drugs to prevent pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). Importantly, the 100 mg dose of diclofenac recommended in Western countries has not been permitted in Japan. DESIGN A retrospective study. SETTINGS A single centre in Japan. P...

We have evaluated the morphine-sparing effect of rectal paracetamol during the first 24 h after abdominal hysterectomy in a placebo-controlled, double-blind study. We studied 72 patients receiving patient-controlled analgesia (PCA) with i.v. morphine after a standardized anaesthetic, allocated randomly to receive rectal paracetamol 1.3 g, diclofenac 50 mg or placebo, after wound closure and at ...

OBJECTIVE To determine reduction in dose of tramadol and side effects in posthysterectomy patients on addition of diclofenac on rectal suppository. STUDY DESIGN Randomized double blinded placebo controlled study. PLACE AND DURATION OF STUDY The Aga Khan University Hospital, Karachi, Pakistan, from August 2004 to January 2006. METHODOLOGY Seventy ASA I and II females, aged 20 and above, wh...

OBJECTIVES To evaluate the effect of postoperative use of non-steroidal anti-inflammatory drugs (NSAIDs) on anastomotic leakage requiring reoperation after colorectal resection. DESIGN Cohort study based on data from a prospective clinical database and electronically registered medical records. SETTING Six major colorectal centres in eastern Denmark. PARTICIPANTS 2766 patients (1441 (52%)...

I read with interest the article by Mogadam et al. (1) in which the authors have compared the analgesic efficacy of gabapentin and diclofenac in patients undergoing tonsillectomy. They concluded that both gabapentin and diclofenac reduced postoperative pain and opioid consumption without side effects. Four additional points deserve commentary and clarification. Gabapentin is being increasingly ...

OBJECTIVE To determine the frequency of perineal pain after childbirth after a single dose of diclofenac rectal suppository. METHODS This cross-sectional study was conducted at Shaikh Zayed Women Hospital, Larkana, Pakistan, from April to September 2014, and comprised patients who were admitted to the labour room for normal vaginal delivery. A single dose of rectal diclofenac suppository of 1...

background tonsillectomy is a common procedure causing considerable postoperative pain. postoperative pain intensity of 60 - 70 in the scale of visual analog scale (vas) has been reported up to 3 - 4 days which could continue until 11 days after the surgery. objectives the current study aimed to compare the analgesic effect of gabapentin and diclofenac on pain after tonsillectomy with the contr...