[Post-operative analgesia in case of ano-rectal diseases].
BACKGROUND
The aim of the study was that to evaluate the post-operative pain in case of ano-rectal diseases wether treated by ketorolac, or buprenorphine or tramadol.


METHODS
The intensity of post-operative pain was evaluated in 60 patients with hemorrhoidal diseases, fistulae, abscesses and anal neoplasms, divided into three homogenous groups and treated with intramuscular ketorolac (Group I), transdermal buprenorphine (Group II) and tramadol in elastomeric pump (Group III).


RESULTS
The average index of the visual analogue scale, as mean to evaluate the intensity of the post-operative pain, was 1,85 in the first group, 1,20 in the second one and 1,40 in the third group.


CONCLUSIONS
In patients treated with transdermal buprenorphine or with tramadol in elastomeric pump there has been a more quick psycho-physical recovery than in those treated with ketorolac; the management of elastomeric pump represents however for patients cause of concern while the transdermal system is a kind of rational and comfortable way of treatment of the pain, with the advantage of being non-invasive.


CONCLUSIONS
Better compliance and lower operating costs have given the preference to the use of transdermal buprenorphine for the treatment of diseases of the post-operative pain in the diseases of the anal canal.
Rossitto
Maurizio
M
Dipartimento delle Specialità Chirurgiche, Policlinico Universitario "G. Martino", U.O. di Patologia Ano-Rettale, Università degli Studi di Messina, Italia. maurizio.rossitto@unime.it
Pantè
Sebastiano
S
Manfrè
Antonino
A
Ciccolo
Antonio
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000698:Analgesia; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001004:Anus Diseases / Q000601:surgery; D002047:Buprenorphine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D020910:Ketorolac / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control*; D012002:Rectal Diseases / Q000601:surgery*; D014147:Tramadol / Q000627:therapeutic use; D055815:Young Adult
D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D014147:Tramadol; D002047:Buprenorphine; D020910:Ketorolac