We thank Dr. Argo for his interest and for his thoughtful comments on our work.
1
There is unquestionably a role for perioperative nonopioid analgesia in reducing
the use of opioids after surgery. Although the amount of tissue disruption in pediatric
umbilical hernias is generally minimal and local anesthetic and nonnarcotic oral analgesics
are—in our experience—highly effective, more sophisticated techniques, such as regional
nerve blocks, are increasingly being used in both pediatric and adult surgery. The
value of these techniques is becoming increasingly clear.To read this article in full you will need to make a payment
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References
- National variation in opioid prescribing after pediatric umbilical hernia repair.Surgery. 2019; 165: 838-842
- Opioid-prescribing guidelines for common surgical procedures: An expert panel consensus.J Am Coll Surg. 2018; 227: 411-418
Article info
Publication history
Published online: April 05, 2019
Accepted:
February 26,
2019
Footnotes
Financial support: This work was supported by internal funds and by an unrestricted grant from the Cars Curing Kids Foundation.
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Confounding factors on the analysis of opioid prescription after pediatric umbilical hernia repairSurgeryVol. 166Issue 2
- PreviewI read with great interest the article by Cartmill et al.1 The authors performed a retrospective national analysis of pediatric patients undergoing umbilical hernia repair and concluded that, although many patients do not require opioids for umbilical hernia repair, most pediatric patients fill opioid prescriptions, including for prolonged courses and refills. The authors should be applauded for performing a well-designed study on an important topic (eg, acute pain) in patients undergoing surgery.
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