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Using an Environmentally Friendly Disposal Bag to Discard Leftover Opioids After Gynecologic Surgery.

Teresa K L Boitano1, Sara Beth Norton, Kevin S Shrestha

  • 1Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, the O'Neal Comprehensive Cancer Center, and the Department of Obstetrics & Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.

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An environmentally friendly drug deactivation bag effectively facilitated safe disposal of leftover opioid medications for gynecologic surgery patients. Most patients used the disposal bag, indicating its utility in managing post-operative opioid waste.

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Area of Science:

  • Pharmacology
  • Surgical Outcomes
  • Environmental Health

Background:

  • Opioid prescriptions are common after gynecologic surgery.
  • Safe disposal of unused opioid medications is a public health concern.
  • Environmentally friendly disposal methods are needed to mitigate risks associated with leftover opioids.

Purpose of the Study:

  • To evaluate the effectiveness of an environmentally friendly drug deactivation bag for opioid disposal.
  • To assess patient satisfaction and disposal practices following gynecologic surgery.
  • To determine the impact of preoperative education on opioid disposal methods.

Main Methods:

  • Prospective cohort study of patients undergoing gynecologic procedures.
  • Implementation of a restrictive opioid prescribing algorithm and provision of drug deactivation bags.
  • Patient surveys assessing satisfaction, leftover pills, and disposal methods; statistical analysis using SPSS.

Main Results:

  • 41% of patients had leftover opioid pills after surgery.
  • 73% of patients with leftover opioids safely discarded them.
  • 78% of patients utilized the provided drug deactivation bag for disposal, with high reported willingness to reuse.

Conclusions:

  • A significant proportion of gynecologic surgery patients have leftover opioids.
  • The drug deactivation bag, coupled with education, is an effective method for safe opioid disposal.
  • This approach can improve medication management and reduce environmental risks.