Transduodenal Ampullectomy for Ampullary Lesions: Experience and Follow-Up

Abstract

within 7 days of their outpatient surgeries and asked what they had used for postoperative pain control. If narcotics were used, they were asked if they felt they received too many, just enough, or not enough pills. We also inquired how many tablets the patient had left and how many they had used. We then retrospectively reviewed this data. RESULTS:In 2017, seven divisions (General, Vascular, Plastics, Neurosurgery, Cardiac, ENT, and Urology) chose two procedures each to review. For example, the General Surgery division agreed to a standard of 15 opioid tablets as an initial postoperative prescription following laparoscopic cholecystectomy. For all procedures, providers prescribed 10.2 AE 14.8 tablets of hydrocodone-acetaminophen less than the agreed upon standardization. Starting in 2020, 429 patients who underwent these procedures were queried as to their postoperative pain control. On average, 91 + 0.2% of patients were prescribed opioids, while 70 AE 0.3% of patients actually used them by postoperative day 2. CONCLUSION: Our project demonstrates that despite reducing postoperative opioid prescribing across a variety of surgical subspecialties, patients used less narcotics than prescribed.