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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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New Persistent Opioid Use After Inguinal Hernia Repair.
Ryan Howard1,2,3, Vidhya Gunaseelan2,3, Chad Brummett2,4
1Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Annals of Surgery
|October 16, 2020
Summary
1.5% of patients developed persistent opioid use after inguinal hernia repair. Pre-surgery opioid prescriptions were the strongest risk factor for this complication.
Area of Science:
- General Surgery
- Pain Management
- Public Health
Background:
- New persistent opioid use is a common post-surgical complication.
- The incidence of new persistent opioid use after inguinal hernia repair remains undescribed.
- Over 800,000 inguinal hernia repairs are performed annually in the USA, highlighting the potential public health impact.
Purpose of the Study:
- To determine the incidence of new persistent opioid use following inguinal hernia repair.
- To identify risk factors associated with new persistent opioid use after this procedure.
Main Methods:
- Retrospective cross-sectional study.
- Utilized a national database of de-identified administrative health claims.
- Included opioid-naïve patients undergoing inguinal hernia repair between 2008 and 2016.
Main Results:
- 1.5% (922 of 59,795) of patients developed new persistent opioid use.
- The strongest risk factor was filling an opioid prescription within 30 days before surgery (OR 4.34).
- Additional risk factors included larger opioid prescriptions, comorbidities, major complications, and certain mental health/pain disorders.
Conclusions:
- 1.5% of patients undergoing inguinal hernia repair developed new persistent opioid use.
- Pre-operative opioid prescription is the most significant predictor of post-operative persistent opioid use.
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