From
Live Event Content
Best of the Best Gen Surg - Predictors of Low and High Opioid Tablet Consumption after Inguinal Hernia Repair – an ACHQC Opioid Reduction Task Force Analysis - Dr. Warren
With Dr. Jeremy Warren & Dr. Todd Ponsky · hosted by Dr. Em Gootee
Part of
Inguinal Hernia 28 items
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Surgeon annual volume impacts recurrence rates of pediatric inguinal hernia repairs: A multi-institutional study
54 s · Published Feb 2026
Video
Delayed versus early repair of inguinal hernia in preterm infants
43 s · Published Nov 2023
Podcast
Case-Based Journal Review: Inguinal Hernia 2025
19 min · Published Apr 2025
Video
A Retrospective Nationwide Comparison of Laparoscopic vs Open Inguinal Hernia Repair in Children
51 s · Published Feb 2026
Video
Reparación tardía versus temprana de la hernia inguinal en bebés prematuros
Published Nov 2023
Video
PAPS -Perioperative Opioid Use In Paediatric Inguinal Hernia Patients- A Systematic Review And Retrospective Audit Of Practice - Isabel Hageman
11 min · Published May 2022
Only a few other public items share this expert — go deeper there →
Video
Clinical & Research Update: Renal Tumors with Drs. Ethan Smith, Lindsay Haacker, Michael Daugherty, and Meera Kotagal
71 min · Published Sep 2026
Video
Clinical & Research Update: Neuroblastoma with Drs. Katherine Somers, Cara Morin, Juan Gurria, and Meera Kotagal
67 min · Published Sep 2026
Video
Clinical & Research Update: Sarcoma w/ Drs. Roshni Dasgupta, Joseph Pressey, Arthur Meyer, Luke Pater
66 min · Published Sep 2026
Video
2026 Laparoscopic Pediatric Hernia Repair
123 min · Published Jun 2026
Video
Beyond the Spectrum: Diagnosis, Myths & Management - Caitlin Couch & Leslie Lopez - APP Conference 2026
50 min · Published May 2026
Video
Dysautonomia: Navigating the Journey - Martha Willis - APP Conference 2026
55 min · Published May 2026
What the experts said
More than 60 percent of inguinal hernia patients in a Greenville study required no opioid consumption
The ACHQC is a national hernia-specific registry containing over 100,000 patients
Over 80 percent of patients reported taking less than 10 pills after inguinal hernia repair
Over 50 percent of patients reported taking no opioids at all after inguinal hernia repair
Younger age, smokers, ASA 3 or 4, preoperative opioid use, open mesh repairs, longer operative times, and worse baseline quality of life increased the risk of high opioid consumption post-op
The study analyzed 1,937 patients undergoing elective, clean inguinal hernia repair with completed 30-day follow-up and complete opioid data
59 percent of cases were minimally invasive inguinal hernia repairs (lap and robotic), 35 percent open mesh repairs, and 6 percent open tissue repairs
Patients were at significantly higher risk of opioid consumption when prescribed a higher volume of pills
History of smoking increases the risk of opioid consumption after inguinal hernia repair
Patients reported consuming zero narcotics in 50 percent of cases, with only 8 percent reporting more than 10 tablets consumed
Patients with prior or recent opioid use are at higher risk of post-operative opioid consumption, supporting avoidance of prescribing opioids for hernia-related pain prior to surgery
Older age, ASA 1 or 2, use of local anesthetic, use of sedation versus general anesthetic, and shorter operative time all increased the chances that patients would use zero narcotics post-op
Minimally invasive approach and use of local anesthetic are surgeon-modifiable factors that reduce opioid consumption
Patient-reported opioid use is significantly impacted by surgeon prescribing
Patients with no opioid use prior to surgery or prescribed fewer than seven pills were the most likely to consume zero narcotics post-operatively
Other specialties use drugs like gabapentin and Tylenol to achieve effective pain relief without narcotics
Over half a million opioid-related deaths occurred in the last 20 years
Prescription opioid-related deaths increased by 17% in the last year
Transition to synthetic opioids and heroin often begins with exposure to prescribed opioids
A 2017 Dartmouth study demonstrated wide range of surgeon prescribing patterns for common procedures and that patients typically consume dramatically less opioid than prescribed
Patients were prescribed between 15 and 120 opioid tablets after inguinal hernia repair, with an average of over 30 pills prescribed
Patients reported taking only 15 to 30 percent of prescribed tablets after inguinal hernia repair
Almost every state has reversed legislation to allow prescribing limited opioids without hand-off through EMRs
The rate of refill calls for inguinal hernias following these guidelines is 4%
The number one predictor of how many opioid tablets a patient takes is how many they are prescribed
A surgeon previously discharged every inguinal hernia patient with 50 oxycodones at $3 prescription cost plus $23 FedEx for refills
For laparoscopic inguinal hernias, a surgeon has discharged patients with zero narcotics for six months, using ice and scheduled Motrin and Tylenol, with only one refill request