, Volume 10, Issue 2, pp 184–186 | Cite as

Cooling for the reduction of postoperative pain: prospective randomized study

  • M. Koç
  • M. TezEmail author
  • Ö. Yoldaş
  • H. Dizen
  • E. Göçmen
Original Article


Hernia surgery has been associated with severe pain within the first 24 h postoperatively. The application of cold or cryotherapy has been in use since at least the time of Hippocrates. The physiological and biological effects from the reduction of temperature in various tissues include local analgesia, inhibited oedema formation and reduced blood circulation. Our hypothesis was that cold therapy, applied by means of ice packs, following inguinal hernia surgery, controlled pain postoperatively. Forty patients scheduled for inguinal hernia repair were enrolled in a double-blind, randomized study. Postoperatively, chipped ice in a plastic bag (cold group), and a plastic bag containing only room temperature water (control) were placed over the incision for 20 min. Postoperative pain data were collected at 2, 6 and 24 h after operation according to the well validated visual analogue scale (VAS). The highest pain levels were recorded 2 h postoperatively for both groups. Pain levels then gradually decreased for both the trial groups during the first 24 h postoperatively. There were significant differences in the VAS scores between the groups at 2, 6 and 24 h. We conclude that local cooling is a safe and effective technique for providing analgesia following inguinal hernia repair.


İnguinal hernia Analgesia Cooling 


  1. 1.
    Stewart A, Fan MM, Fong MJ, Louie A, Lynch JP, O’Shea M (2004) Randomized trial of a pain control infusion pump following inguinal hernia repair. ANZ J Surg 74:873–876CrossRefPubMedGoogle Scholar
  2. 2.
    Clerc S, Vuilleumier H, Frascarolo P, Spahn DR, Gardaz JP (2005) Is the effect of inguinal field block with 0.5% bupivacaine on postoperative pain after hernia repair enhanced by addition of ketorolac or S(+) ketamine? Clin J Pain 21:101–105CrossRefPubMedGoogle Scholar
  3. 3.
    van der Westhuijzen AJ, Becker PJ, Morkel J, Roelse JA (2005) A randomized observer blind comparison of bilateral facial ice pack therapy with no ice therapy following third molar surgery. Int J Oral Maxillofac Surg 34:281–286CrossRefPubMedGoogle Scholar
  4. 4.
    Janwantanakul P (2004) Different rate of cooling time and magnitude of cooling temperature during ice bag treatment with and without damp towel wrap. Phys Ther Sport 5:156–161CrossRefGoogle Scholar
  5. 5.
    MacAuley D (2001) Do textbooks agree on their advice on ice? Clin J Sport Med 11:67–72CrossRefPubMedGoogle Scholar
  6. 6.
    Oosterveld FG, Rasker JJ, Jacobs JW, Overmars HJ (1992) The effect of local heat and cold therapy on the intraarticular and skin surface temperature of the knee. Arthritis Rheum 35:146–151PubMedCrossRefGoogle Scholar
  7. 7.
    LaVelle BE, Snyder M (1985) Differential conduction of cold through barriers. J Adv Nurs 10:55–61Google Scholar
  8. 8.
    Otte JW, Merrick MA, Ingersoll CD, Cordova ML (2002) Subcutaneous adipose tissue thickness alters cooling time during cryotherapy. Arch Phys Med Rehabil 83:1501–1505CrossRefPubMedGoogle Scholar
  9. 9.
    Palmer JE, Knight KL (1996) Ankle and thigh skin temperature changes with repeated ice pack applicationJ Athl Train 31:319–323PubMedGoogle Scholar
  10. 10.
    Pavlin DJ, Chen C, Penaloza DA, Polissar NL, Buckley FP (2002) Pain as a factor complicating recovery and discharge after ambulatory surgery. Anesth Analg 95:627–634CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • M. Koç
    • 1
  • M. Tez
    • 1
    • 2
    Email author
  • Ö. Yoldaş
    • 1
  • H. Dizen
    • 1
  • E. Göçmen
    • 1
  1. 1.Fifth Department of SurgeryAnkara Numune Education and Research HospitalAnkaraTurkey
  2. 2.Fifth Department of SurgeryAnkara Numune Education and Research HospitalAnkaraTurkey

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