1. New persistent opioid use following robotic-assisted, laparoscopic and open surgery inguinal hernia repair.
- Author
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MacQueen, Ian, Milky, Gediwon, Shih, I-Fan, Zheng, Feibi, and Chen, David
- Subjects
Inguinal hernia repair ,Minimally invasive surgery ,Persistent opioid use ,Robotic surgery ,Humans ,Robotic Surgical Procedures ,Male ,Retrospective Studies ,Female ,Middle Aged ,Analgesics ,Opioid ,Hernia ,Inguinal ,Laparoscopy ,Pain ,Postoperative ,Herniorrhaphy ,Adult ,Aged ,Opioid-Related Disorders - Abstract
INTRODUCTION: Post-operative prescription opioid use is a known risk factor for persistent opioid use. Despite the increased utilization of robotic-assisted surgery (RAS) for inguinal hernia repair (IHR), little is known whether this minimally invasive approach results in less opioid consumption. In this study, we compare long-term opioid use between RAS versus laparoscopic (Lap) versus open surgery for IHR. METHODS: A retrospective cohort study of opioid-naïve patients who underwent outpatient primary IHR was conducted using the Merative™ MarketScan® (Previously IBM MarketScan®) Databases between 2016 and 2020. Patients not continuously enrolled 180 days before/after surgery, who had malignancy, pre-existing chronic pain, opioid dependency, or invalid prescription fill information were excluded. Among patients exposed to opioids peri-operatively, we assessed long-term opioid use as any opioid prescription fill within 90 to 180 days post-surgery. Secondary outcomes were controlled substance schedule II/III opioid fill, and high-dose opioid fill defined as > 50 morphine milligram equivalent per day. An Inverse-probability of treatment weighted logistic regression was used to compare outcomes between groups with p-value of
- Published
- 2024