Comparing the effect of diclofenac and acetaminophen suppositories in decrease pain following hemorrhoidectomy

Anal surgeries are prevalent, but they didnt perform as outpatient surgeries because of concerns about postoperative pain. The aim of the present study was to compare the effects of rectal acetaminophen and diclofenac on postoperative analgesia after anal surgeries in adult patients.

In this study 70 patients who scheduled for haemorrhoidectomy were randomized to receive either a single dose of rectal acetaminophen (n=35) and rectal diclofenac (n=35). Pain score measured by VAS system in 0, 2, 4, 12 and 24 hours after surgery. Data analyzed by repeated measurements ANOVA test.

pain scores were lower significantly in rectal diclofenac than the other group. The period between administration of the suppositories and the patients first request to receive analgesic in diclofenac group was 183.14±26.98 minutes, was significantly longer compared with acetaminophen group (166.85±27.30 minutes).

Diclofenac suppository is more effective than acetaminophen suppository in post hemorrhoidectomy pain management. The use of diclofenac suppositories in reducing postoperative pain can result in more satisfactory results.