no enrollment, reallocation of resources

Investigating the effect of multimodal pain treatment after hernia repair

This is a randomized, non-blinded study comparing the effects of multimodal pain management (ibuprofen, tylenol, and narcotics/oxycodone as needed) for relief of post-operative pain in patients who undergo hernia repair. Patients who present for elective hernia surgery will be randomized in a 1:1 fashion by pre-operative pain score into a multimodal pain treatment group or conventional opiod treatment group for post-operative pain management. They will be followed up after their surgery to evaluate their pain scores and narcotic use.

Inclusion Criteria:

• Healthy adult patients >18 years of age to 90 years of age who are eligible for a hernia repair (ventral or inguinal) by a surgeon in the Medical Faculty Associates Department of General Surgery at the George Washington University Hospital.

Exclusion Criteria:

• Patients with allergies to sulfa or any of the medications being evaluated in this study (ibuprofen, tylenol, oxycodone)
• patients with a history of gastric ulcer or gastrointestinal bleeding
• patients with kidney disease
• patients with cardiovascular disease
• patients with a co-morbid condition that would prohibit them from taking narcotics
• patients with known or suspected narcotic abuse
• patients who do not wish to participate