The Effect of Intraoperative Tramadol on Postoperative Opioid

Postoperative pain remains a very UNPLEASENTevent, particularly in morbidly obese patients that may be associated with obstructive sleep apnea. Bariatric surgery patients must get safe and efficient analgesia, which is essential given that up to 45 % of patients report substantial pain in the first two days following surgery. The study's purpose was to compare the efficacy and safety of combined tramadol with pethidine versus pethidine alone and to assess their impact on postoperative pethidine requirements after LSG for morbidly obese patients

Inclusion Criteria:Patients with morbid obesity defined as a BMI of more than 40 orBMI less than 35 with at least one comorbidity andages ranging from 16 to 65, were patientsExclusion Criteria:Patients under the age of 16 or over 65,Those with severe GERD, leakagepregnancy, orinflammatory bowel disease,