Majority of Patients Require Few Opioids After Hernia Repair
TUESDAY, Aug. 15, 2017 -- The number of opioids prescribed for patients after elective hernia repair can be reduced, according to a study published online Aug. 1 in Surgery.
Konstantinos S. Mylonas, M.D., from Massachusetts General Hospital in Boston, and colleagues surveyed 185 adult patients (95.7 percent male) undergoing elective inguinal herniorrhaphy under local anesthesia with intravenous sedation between Oct. 1, 2015, and Sept. 30, 2016. The surveys were conducted two to three weeks postoperatively and included questions about the institution's opioid prescribing practice. Patients were prescribed 10 opioid analgesic tablets postoperatively but were counseled to reserve opioids for pain not controlled by nonopioid analgesics.
The researchers found that 85.9 percent of patients reported using four or fewer opioid tablets, with 59.5 percent reporting that they used no opioid analgesics postoperatively. Of the 147 employed patients, 75.5 percent reported missing three or fewer work days, with 51.4 percent missing no work at all. Patients who used no opioids reported experiencing less maximum (P < 0.001) and persistent groin pain (P = 0.037). They also reported that pain interfered less with daily activities (P = 0.012) and leisure activities (P = 0.018), compared to patients who did take opioids.
"Our data suggest that for elective inguinal hernia repair under a local anesthetic with intravenous sedation, a policy of low opioid analgesic prescribing is achievable," the authors write.
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Posted: August 2017