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Published in: Hernia 1/2011

01-02-2011 | Original Article

Parecoxib sodium in the treatment of postoperative pain after Lichtenstein tension-free mesh inguinal hernia repair

Authors: A. V. Kyriakidis, I. Perysinakis, I. Alexandris, K. Athanasiou, Ch. Papadopoulos, I. Mpesikos

Published in: Hernia | Issue 1/2011

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Abstract

Purpose

This prospective, randomized, double-blind study compared the analgesic efficacy and safety of parecoxib sodium versus lornoxicam and diclofenac, after Lichtenstein tension-free mesh inguinal hernia repair.

Methods

Patients were randomly assigned to receive parecoxib 80 mg daily i.v. (Group A), lornoxicam 16 mg daily i.v. (Group B) or diclofenac 150 mg daily i.m. (Group C). Rescue analgesia in all groups consisted of pethidine 25 mg i.m. Pain was measured with an analogue scale (pain intensity score).

Results

Patients treated with parecoxib 80 mg reported significantly lower summed pain intensity scores compared with lornoxicam and diclofenac-treated patients. Duration of analgesia was also significantly longer with parecoxib than with lornoxicam and diclofenac. Adverse events were significantly less common in the parecoxib and lornoxicam group, compared with diclofenac group.

Conclusions

Multiple-day administration of parecoxib 40 mg twice daily is more effective than equivalent doses of lornoxicam and diclofenac, and generally better tolerated than diclofenac after Lichtenstein tension-free mesh inguinal hernia repair.
Literature
1.
go back to reference Bisgaard T, Klarskov B, Rosenberg J et al (2001) Characteristics and prediction of early pain after laparoscopic cholecystectomy. Pain 90:261–269CrossRefPubMed Bisgaard T, Klarskov B, Rosenberg J et al (2001) Characteristics and prediction of early pain after laparoscopic cholecystectomy. Pain 90:261–269CrossRefPubMed
2.
go back to reference Stichtenoth DO, Frolich JC (2003) The second generation of COX-2 inhibitors: what advantages do the newest offer? Drugs 63:33–45CrossRefPubMed Stichtenoth DO, Frolich JC (2003) The second generation of COX-2 inhibitors: what advantages do the newest offer? Drugs 63:33–45CrossRefPubMed
3.
4.
go back to reference Emery P, Zeidler H, Kvien TK, Guslandi M, Naudin R, Stead H, Verburg KM, Isakson PC, Hubbard RC, Geis GS (1999) Celecoxib versus diclofenac in long-term management of rheumatoid arthritis: randomised double-blind comparison. Lancet 354(9196):2106–2111CrossRefPubMed Emery P, Zeidler H, Kvien TK, Guslandi M, Naudin R, Stead H, Verburg KM, Isakson PC, Hubbard RC, Geis GS (1999) Celecoxib versus diclofenac in long-term management of rheumatoid arthritis: randomised double-blind comparison. Lancet 354(9196):2106–2111CrossRefPubMed
5.
go back to reference Deeks J, Smith L, Bradley M (2002) Efficacy, tolerability, and upper gastrointestinal safety of celecoxib for treatment of osteoarthritis and rheumatoid arthritis: systematic review of randomised controlled trials. BMJ 325:619CrossRefPubMed Deeks J, Smith L, Bradley M (2002) Efficacy, tolerability, and upper gastrointestinal safety of celecoxib for treatment of osteoarthritis and rheumatoid arthritis: systematic review of randomised controlled trials. BMJ 325:619CrossRefPubMed
6.
go back to reference Rasmusen G, Steckner K, Hogue C et al (2002) Intravenous parecoxib sodium for acute pain after orthopedic knee surgery. Am J Orthop 31:336–343 Rasmusen G, Steckner K, Hogue C et al (2002) Intravenous parecoxib sodium for acute pain after orthopedic knee surgery. Am J Orthop 31:336–343
7.
go back to reference Barton S, Langeland F, Snabes M et al (2002) Efficacy and safety of intravenous parecoxib sodium in relieving acute postoperative pain following gynecologic laparotomy surgery. Anesthesiology 96:306–314CrossRef Barton S, Langeland F, Snabes M et al (2002) Efficacy and safety of intravenous parecoxib sodium in relieving acute postoperative pain following gynecologic laparotomy surgery. Anesthesiology 96:306–314CrossRef
8.
go back to reference Vane JR (1971) Inhibition of prostaglandin synthesis as a mechanism of action of aspirin-like drugs. Nat New Biol 231:232–235PubMed Vane JR (1971) Inhibition of prostaglandin synthesis as a mechanism of action of aspirin-like drugs. Nat New Biol 231:232–235PubMed
9.
go back to reference Masferrer JL, Zweifel BS, Seibert K et al (1990) Selective regulation of cellular cyclooxygenase by dexamethasone and endotoxin in mice. J Clin Invest 86:1375–1379CrossRefPubMed Masferrer JL, Zweifel BS, Seibert K et al (1990) Selective regulation of cellular cyclooxygenase by dexamethasone and endotoxin in mice. J Clin Invest 86:1375–1379CrossRefPubMed
10.
go back to reference Xie W, Chipman JG, Robertson DL et al (1991) Expression of a mitogen-responsive gene encoding prostaglandin synthase is regulated by mRNA splicing. Proc Natl Acad Sci USA 88:2692–2696CrossRefPubMed Xie W, Chipman JG, Robertson DL et al (1991) Expression of a mitogen-responsive gene encoding prostaglandin synthase is regulated by mRNA splicing. Proc Natl Acad Sci USA 88:2692–2696CrossRefPubMed
11.
go back to reference Beiche F, Scheuerer S, Brune K et al (1996) Upregulation of cyclooxygenase-2 mRNA in the rat spinal cord following peripheral inflammation. FEBS Lett 390:165–169CrossRefPubMed Beiche F, Scheuerer S, Brune K et al (1996) Upregulation of cyclooxygenase-2 mRNA in the rat spinal cord following peripheral inflammation. FEBS Lett 390:165–169CrossRefPubMed
12.
go back to reference Bombardier C, Laine L, Reicin A et al (2000) Comparison of upper gastrointestinal toxicity of rofecoxib and naproxen in patients with rheumatoid arthritis. VIGOR Study Group. N Engl J Med 343:1520–1528CrossRefPubMed Bombardier C, Laine L, Reicin A et al (2000) Comparison of upper gastrointestinal toxicity of rofecoxib and naproxen in patients with rheumatoid arthritis. VIGOR Study Group. N Engl J Med 343:1520–1528CrossRefPubMed
13.
go back to reference Schnitzer TJ, Burmester GR, Mysler E et al (2004) Comparison of lumiracoxib with naproxen and ibuprofen in the therapeutic arthritis research and gastrointestinal event trial (TARGET), reduction in ulcer complications: randomised controlled trial. Lancet 364:665–674CrossRefPubMed Schnitzer TJ, Burmester GR, Mysler E et al (2004) Comparison of lumiracoxib with naproxen and ibuprofen in the therapeutic arthritis research and gastrointestinal event trial (TARGET), reduction in ulcer complications: randomised controlled trial. Lancet 364:665–674CrossRefPubMed
14.
go back to reference Silverstein FE, Faich G, Goldstein JL, Simon LS, Pincus T, Whelton A et al (2000) Gastrointestinal toxicity with celecoxib vs nonsteroidal anti-inflammatory drugs for osteoarthritis and rheumatoid arthritis: the CLASS study: a randomized controlled trial. Celecoxib Long-term Arthritis Safety Study. J Am Med Assoc 284:1247–1255CrossRef Silverstein FE, Faich G, Goldstein JL, Simon LS, Pincus T, Whelton A et al (2000) Gastrointestinal toxicity with celecoxib vs nonsteroidal anti-inflammatory drugs for osteoarthritis and rheumatoid arthritis: the CLASS study: a randomized controlled trial. Celecoxib Long-term Arthritis Safety Study. J Am Med Assoc 284:1247–1255CrossRef
15.
go back to reference Chan FK, Hung LC, Suen BY et al (2002) Celecoxib versus diclofenac and omeprazole in reducing the risk of recurrent ulcer bleeding in patients with arthritis. N Engl J Med 347:2104–2110CrossRefPubMed Chan FK, Hung LC, Suen BY et al (2002) Celecoxib versus diclofenac and omeprazole in reducing the risk of recurrent ulcer bleeding in patients with arthritis. N Engl J Med 347:2104–2110CrossRefPubMed
16.
go back to reference Lai KC, Chu KM, Hui WM et al (2005) Celecoxib compared with lansoprazole and naproxen to prevent gastrointestinal ulcer complications. Am J Med 118:1271–1278CrossRefPubMed Lai KC, Chu KM, Hui WM et al (2005) Celecoxib compared with lansoprazole and naproxen to prevent gastrointestinal ulcer complications. Am J Med 118:1271–1278CrossRefPubMed
17.
go back to reference Rodrigues AD, Halpin RA, Geer LA, Cui D, Woolf EJ, Matthews CZ, Gottesdiener KM, Larson PJ (2003) Absorption, metabolism, and excretion of etoricoxib, a potent and selective cyclooxygenase-2 inhibitor, in healthy male volunteers. Drug Metab Dispos 31:224–232CrossRefPubMed Rodrigues AD, Halpin RA, Geer LA, Cui D, Woolf EJ, Matthews CZ, Gottesdiener KM, Larson PJ (2003) Absorption, metabolism, and excretion of etoricoxib, a potent and selective cyclooxygenase-2 inhibitor, in healthy male volunteers. Drug Metab Dispos 31:224–232CrossRefPubMed
18.
go back to reference Esser R, Berry C, Du Z et al (2005) Preclinical pharmacology of lumiracoxib: a novel selective inhibitor of cyclooxygenase-2. Br J Pharmacol 144:538–550CrossRefPubMed Esser R, Berry C, Du Z et al (2005) Preclinical pharmacology of lumiracoxib: a novel selective inhibitor of cyclooxygenase-2. Br J Pharmacol 144:538–550CrossRefPubMed
19.
go back to reference Szczeklik A, Nizankowska E, Bochenek G et al (2001) Safety of a specific COX2 inhibitor in aspirin-induced asthma. Clin Exp Allergy 31:219–225CrossRefPubMed Szczeklik A, Nizankowska E, Bochenek G et al (2001) Safety of a specific COX2 inhibitor in aspirin-induced asthma. Clin Exp Allergy 31:219–225CrossRefPubMed
20.
go back to reference Farkouh ME, Kirshner H, Harrington RA et al (2004) Comparison of lumiracoxib with naproxen and ibuprofen in the therapeutic arthritis research and gastrointestinal event trial (TARGET), cardiovascular outcomes: randomised controlled trial. Lancet 364:675–684CrossRefPubMed Farkouh ME, Kirshner H, Harrington RA et al (2004) Comparison of lumiracoxib with naproxen and ibuprofen in the therapeutic arthritis research and gastrointestinal event trial (TARGET), cardiovascular outcomes: randomised controlled trial. Lancet 364:675–684CrossRefPubMed
21.
go back to reference Capone ML, Tacconelli S, Sciulli MG et al (2004) Clinical pharmacology of platelet, monocyte, and vascular cyclooxygenase inhibition by naproxen and low-dose aspirin in healthy subjects. Circulation 109:1468–1471CrossRefPubMed Capone ML, Tacconelli S, Sciulli MG et al (2004) Clinical pharmacology of platelet, monocyte, and vascular cyclooxygenase inhibition by naproxen and low-dose aspirin in healthy subjects. Circulation 109:1468–1471CrossRefPubMed
22.
go back to reference Meagher EA (2004) Cardiovascular and renovascular implications of COX-2 inhibition. Curr Pharm Des 10:603–611CrossRefPubMed Meagher EA (2004) Cardiovascular and renovascular implications of COX-2 inhibition. Curr Pharm Des 10:603–611CrossRefPubMed
23.
go back to reference Viscusi E, Gimbel J, Halder A et al (2008) A multiple-day regimen of parecoxib sodium 20 mg twice daily provides pain relief after total hip arthroplasty. Anesth Analg 107:652–660CrossRefPubMed Viscusi E, Gimbel J, Halder A et al (2008) A multiple-day regimen of parecoxib sodium 20 mg twice daily provides pain relief after total hip arthroplasty. Anesth Analg 107:652–660CrossRefPubMed
24.
go back to reference Joshi GP, Viiscusi ER, Gan TJ et al (2004) Effective treatment of laparoscopic cholecystectomy pain with intravenous followed by oral COX-2 specific inhibitor. Anesth Analg 98:336–342CrossRefPubMed Joshi GP, Viiscusi ER, Gan TJ et al (2004) Effective treatment of laparoscopic cholecystectomy pain with intravenous followed by oral COX-2 specific inhibitor. Anesth Analg 98:336–342CrossRefPubMed
25.
go back to reference Papadima A, Lagoudianakis E, Antonakis P et al (2007) Parecoxib vs. Lornoxicam in the treatment of postoperative pain after laparoscopic cholecystectomy: a prospective randomized placebo-controlled trial. Eur J Anaesthesiol 24(2):154–158CrossRefPubMed Papadima A, Lagoudianakis E, Antonakis P et al (2007) Parecoxib vs. Lornoxicam in the treatment of postoperative pain after laparoscopic cholecystectomy: a prospective randomized placebo-controlled trial. Eur J Anaesthesiol 24(2):154–158CrossRefPubMed
26.
go back to reference Tang J, Li S, White PF, Chen X, Wender RH, Quon R, Sloninsky A, Naruse R, Kariger R, Webb T, Norel E (2002) Effect of parecoxib, a novel intravenous cyclooxygenase type-2 inhibitor, on the postoperative opioid requirement and quality of pain control. Anesthesiology 96(6):1305–1309CrossRefPubMed Tang J, Li S, White PF, Chen X, Wender RH, Quon R, Sloninsky A, Naruse R, Kariger R, Webb T, Norel E (2002) Effect of parecoxib, a novel intravenous cyclooxygenase type-2 inhibitor, on the postoperative opioid requirement and quality of pain control. Anesthesiology 96(6):1305–1309CrossRefPubMed
27.
go back to reference Nussmeier NA, Whelton AA, Brown MT et al (2006) Safety and efficacy of the cyclooxygenase-2 inhibitors parecoxib and valdecoxib after noncardiac surgery. Anesthesiology 104(3):518–526CrossRefPubMed Nussmeier NA, Whelton AA, Brown MT et al (2006) Safety and efficacy of the cyclooxygenase-2 inhibitors parecoxib and valdecoxib after noncardiac surgery. Anesthesiology 104(3):518–526CrossRefPubMed
28.
go back to reference Beaussier M, Weickmans H, Paugam C et al (2005) A randomized, double-blind comparison between parecoxib sodium and propacetamol for parenteral postoperative analgesia after inguinal hernia repair in adult patients. Anesth Analg 100:1309–1315CrossRefPubMed Beaussier M, Weickmans H, Paugam C et al (2005) A randomized, double-blind comparison between parecoxib sodium and propacetamol for parenteral postoperative analgesia after inguinal hernia repair in adult patients. Anesth Analg 100:1309–1315CrossRefPubMed
29.
go back to reference Kranke P, Morin A, Roewer N et al (2004) Patients’ global evaluation of analgesia and safety of injected parecoxib for postoperative pain: a quantitative systematic review. Anesth Analg 99:797–806CrossRefPubMed Kranke P, Morin A, Roewer N et al (2004) Patients’ global evaluation of analgesia and safety of injected parecoxib for postoperative pain: a quantitative systematic review. Anesth Analg 99:797–806CrossRefPubMed
30.
go back to reference Narchi P, Carry PY, Catoire P (1998) Postoperative pain relief and recovery with ropivacaine infiltration after inguinal hernia repair. Ambul Surg 6(4):221–226CrossRef Narchi P, Carry PY, Catoire P (1998) Postoperative pain relief and recovery with ropivacaine infiltration after inguinal hernia repair. Ambul Surg 6(4):221–226CrossRef
31.
go back to reference Aasbø V, Thuen A, Ræder J (2002) Improved long-lasting postoperative analgesia, recovery function and patient satisfaction after inguinal hernia repair with inguinal field block compared with general anesthesia. Acta Anaesth Scand 46(6):674–678CrossRefPubMed Aasbø V, Thuen A, Ræder J (2002) Improved long-lasting postoperative analgesia, recovery function and patient satisfaction after inguinal hernia repair with inguinal field block compared with general anesthesia. Acta Anaesth Scand 46(6):674–678CrossRefPubMed
32.
go back to reference Harrison CA, Morris S, Harvey JS (1994) Effect of ilioinguinal and iliohypogastric nerve block and wound infiltration with 0.5% bupivacaine on postoperative pain after hernia repair. Brit J Anaesth 72(6):691–693CrossRefPubMed Harrison CA, Morris S, Harvey JS (1994) Effect of ilioinguinal and iliohypogastric nerve block and wound infiltration with 0.5% bupivacaine on postoperative pain after hernia repair. Brit J Anaesth 72(6):691–693CrossRefPubMed
33.
go back to reference Vintar N, Pozlep G, Rawal N, Godec M, Rakovec S (2002) Incisional self-administration of bupivacaine or ropivacaine provides effective analgesia after inguinal hernia repair. Can J Anesth 49(5):481–486CrossRefPubMed Vintar N, Pozlep G, Rawal N, Godec M, Rakovec S (2002) Incisional self-administration of bupivacaine or ropivacaine provides effective analgesia after inguinal hernia repair. Can J Anesth 49(5):481–486CrossRefPubMed
Metadata
Title
Parecoxib sodium in the treatment of postoperative pain after Lichtenstein tension-free mesh inguinal hernia repair
Authors
A. V. Kyriakidis
I. Perysinakis
I. Alexandris
K. Athanasiou
Ch. Papadopoulos
I. Mpesikos
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2011
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-010-0737-1

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