Surgical Principles in Inguinal Hernia Repair by Melissa Phillips LaPinska & Jeffrey A. Blatnik

Author:Melissa Phillips LaPinska & Jeffrey A. Blatnik
Language: eng
Format: epub
ISBN: 9783319928920
Publisher: Springer International Publishing

Pain Management

Specific pain medication choice, dosage, and amount prescribed vary widely across practices and from surgeon to surgeon. A recent single institution study analyzed postoperative opiate use in opiate-naïve patients after 165 laparoscopic and open inguinal hernia repairs [15]. Among the hernia patients who completed their surveys, the average amount of 5 mg oxycodone equivalents prescribed was 33 pills. Interestingly, 45% of laparoscopic patients and 22% of open patients did not take any opiate pills. The authors calculated the “ideal” number of pills to be prescribed based on criteria that would satisfy 80% of patients’ postoperative opiate use and determined a hernia repair patient’s ideal prescription is 15 pills of 5 mg oxycodone equivalents. This data should be interpreted as suggestive, rather than guidelines, though it parallels our approach to narcotic prescriptions.

Patients taking chronic preoperative narcotics may resume their prescription. Our practice is to strongly emphasize “staggered” dosing of NSAID medication and/or acetaminophen to achieve synergistic pain control and encourage prompt opiate cessation.

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.