Characterizing patterns of opioid prescribing after outpatient ventral hernia repair with mesh
- 01.12.2025
- Review
Erschienen in:
- Verfasst von
- Kimberly P. Woo
- Xinyan Zheng
- Amitabh P. Goel
- Rana M. Higgins
- Anthony A. Iacco
- Todd S. Harris
- Jeremy A. Warren
- Michael Reinhorn
- Clayton C. Petro
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
Despite efforts to minimize opioid prescribing, outpatient ventral hernia repair (VHR) with mesh remains notoriously painful, often requiring postoperative opioid analgesia. Here, we aim to characterize patterns of opioid prescribing for the heterogenous group of patients and procedures that comprise mesh-based, outpatient VHR.
Methods
The Abdominal Core Health Quality Collaborative registry was queried for patients undergoing VHR with mesh who were discharged the same or next day between January 2019 to October 2023. Procedures were broadly classified by approach and mesh location: open, minimally-invasive with intraperitoneal mesh (MIP), and minimally-invasive with retromuscular or preperitoneal mesh (MRPP). Surgeon-reported opioid prescription quantity and patient-reported 30-day consumption data were reviewed.
Results
Of 2,795 patients who met inclusion criteria (46.1% open, 22.7% MIP, 31.2% MRPP), approximately 80% of patients consumed ≤ 10 tablets of opioid pain medication (open 87.7%, MIP 78.4%, MRPP 84.2%). For patients who were prescribed ≤ 10 tablets, the median number of unconsumed tablets was 5 (IQR 0–8). For patients who were prescribed > 10 tablets, the median number of unconsumed tablets was 10 or more (open 10 [IQR 2–16], MIP 10 [IQR 2–18], MRPP 12 [IQR 5–16]). The number of tablets consumed was positively correlated with the number of tablets prescribed (Kendall's rank correlation = 0.232, p < 0.001).
Conclusion
Regardless of technique, for outpatient VHR with mesh, the fewer opioid tablets prescribed, the fewer tablets patients consumed. Decreasing the prescription quantity to ≤ 10 tablets, coupled with preoperative patient education, may help minimize excess opioid prescribing while still achieving adequate pain control.
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- Titel
- Characterizing patterns of opioid prescribing after outpatient ventral hernia repair with mesh
- Verfasst von
-
Kimberly P. Woo
Xinyan Zheng
Amitabh P. Goel
Rana M. Higgins
Anthony A. Iacco
Todd S. Harris
Jeremy A. Warren
Michael Reinhorn
Clayton C. Petro
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03247-x
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