the effect of using pineapple fresh juice to improve post-surgical pain, ecchymosis and swelling in maxillofacial region

Background: facial plastic surgeries are usually associated with various post-surgical undesirablesymptoms, particularly pain, swelling, and ecchymosis. depending on the nature of theprocedures, these symptoms could last for days, sometimes over a week or more. considering theoptimal efficacy of bromelain, this study is used to justify the benefits of pre-operative use of bromelainfound in pineapple using fresh pineapple juice to reduce such complications.materials and methods: a randomized clinical study was performed among 100 patientsundergoing various facial surgical operations; the patients were randomly divided into two groups;fifty patients received the pre-operative fresh pineapple juice (350ml glass) twice every day, a weekbefore and continued for seven days after surgery. the pain level was determined using a visual analogscale, swelling, and ecchymosis judged by visual inspection. average scores for all symptomswere added to obtain the clinical sum score for each visit.results: pre-operative use of fresh pineapple juice was significantly reduced post-surgical pain,swelling, and ecchymosis with statistically significant results (p<0.005) in each pineapple groups.conclusion: bromelain found in pineapple fruit can be used as a successful therapy before variousfacial surgical procedures to minimize and provide faster recovery from undesirable post-operativesymptoms.