J Korean Pain Soc.  2000 Nov;13(2):213-217.

Effects of Intravenous Ketorolac and Wound Infiltration for Postoperative Pain after Inguinal Herniorrhaphy in Pediatric Surgery

• Chae HS
• Shin OY
• Lee DI

Abstract

BACKGROUND: This study was conducted to evaluate and compare the effectiveness of intravenous ketorolac and wound infiltration in producing postherniorrhaphy analgesia in pediatric surgery.
METHODS
Forty consenting healthy children, aged 3-7 yr, were randomly assigned to receive intravenous ketorolac (1 mg/kg) or wound infiltration (0.25% bupivacaine 0.3 ml/kg) before closure of the surgical wound after inguinal herniorrhaphy. Pain was evaluated by using an observer pain score at 30 min, 60 min and 4 hrs intervals, postoperatively.
RESULTS
It is statistically significant that the wound infiltration group had lesser pain than the ketorolac group at 30 min and 60 min. But there is no difference between the groups at 4 hrs, postoperatively.
CONCLUSIONS
We concluded that wound infiltration may provide better analgesia compared to intravenous ketorolac for up to 4 hours postoperative for treatment of pain after inguinal herniorrhaphy in pediatric surgery.

Keyword

Analgesic, intravenous ketorolac; Analgesic, local bupivacaine; Pain postoperative; Surgery herniorrhaphy

MeSH Terms

Analgesia
Bupivacaine
Child
Herniorrhaphy*
Humans
Ketorolac*
Pain, Postoperative*
Wounds and Injuries*
Bupivacaine
Ketorolac