Number of opioid-containing tablets prescribed at discharge for various surgical procedures
| Surgical specialty; procedure | No. of respondents | No. of tablets | |
|---|---|---|---|
| Median (IQR) | Range | ||
| Cardiac surgery | |||
| Coronary artery bypass grafting | 3 | 30 (30–50) | 30–50 |
| Open valve replacement | 3 | 30 (30–50) | 30–50 |
| General surgery | |||
| Laparoscopic cholecystectomy | 43 | 20 (15–30) | 6–30 |
| Laparoscopic appendectomy | 44 | 20 (15,30) | 6–30 |
| Lumpectomy + sentinel lymph node biopsy | 38 | 20 (12–30) | 0–60 |
| Mastectomy + sentinel lymph node biopsy | 38 | 20 (20–30) | 10–90 |
| Open inguinal hernia repair | 43 | 20 (15–30) | 6–60 |
| Laparoscopic inguinal hernia repair | 38 | 20 (15–30) | 4–30 |
| Laparoscopic surgery (inpatient stay) | 43 | 20 (10–30) | 0–90 |
| Open laparotomy (inpatient stay) | 44 | 30 (20–30) | 8–120 |
| Neurosurgery | |||
| Microdiscectomy (herniated disc) | 18 | 20 (15–20) | 10–40 |
| 2- to 3-level posterior cervical discectomy with fusion | 18 | 30 (25–30) | 20–45 |
| Multilevel disc fusion | 18 | 30 (30–30) | 20–80 |
| Minicraniotomy | 18 | 20 (15–24) | 0–60 |
| Craniotomy | 18 | 20 (20–30) | 0–60 |
| Microvascular decompression of cranial nerve VII | 18 | 20 (20–30) | 10–60 |
| Transphenoidal surgery | 17 | 20 (15–25) | 0–40 |
| Plastic surgery | |||
| Single-digit reimplantation | 14 | 30 (25–30) | 20–50 |
| Breast augmentation | 15 | 20 (20–30) | 10–42 |
| Breast reconstruction with latissimus dorsi flap | 16 | 30 (25–35) | 20–42 |
| Dupuytren contracture release | 16 | 24 (20–30) | 10–40 |
| Carpal tunnel release | 16 | 18 (10–20) | 0–28 |
| Thoracic surgery | |||
| Video-assisted thoracoscopic surgery | 5 | 50 (20–60) | 20–60 |
| Mediastinoscopy | 5 | 10 (0–10) | 0–20 |
| Pleural aspiration and biopsy | 4 | 10 (0–25) | 0–30 |
| Esophagectomy | 5 | 60 (30–60) | 30–100 |
| Thoracotomy | 5 | 60 (60–60) | 30–100 |
| Chest tube placement | 4 | 15 (5–30) | 0–40 |
| Bronchoscopy | 5 | 0 (0–0) | 0–0 |
| Urology | |||
| Extracorporeal shock wave lithotripsy (stone) | 9 | 15 (10–15) | 0–30 |
| Extracorporeal shock wave lithotripsy (vasectomy) | 3 | 10 (0–15) | 0–15 |
| Transurethral resection of bladder tumour | 12 | 5 (2–10) | 0–15 |
| Laparoscopic nephrectomy | 12 | 18 (10–25) | 10–30 |
| Open prostatectomy | 12 | 20 (17–25) | 10–30 |
| Vascular surgery | |||
| Endovascular aortic aneurysm repair | 10 | 18 (10–20) | 0–30 |
| Open abdominal aortic aneurysm repair | 9 | 30 (30–30) | 20–30 |
| Arteriovenous fistula creation | 10 | 10 (10–10) | 0–20 |
| Femoral/popliteal bypass | 10 | 20 (20–30) | 15–30 |
| Carotid endarterectomy | 10 | 12 (10–20) | 0–20 |
| Orthopedic surgery | |||
| Diagnostic knee arthroscopy | 4 | 30 (15–35) | 0–40 |
| Arthroscopic anterior cruciate ligament repair | 4 | 60 (50–60) | 40–60 |
| Total knee replacement | 6 | 80 (80–100) | 60–120 |
| Total hip replacement | 6 | 80 (80–100) | 40–100 |
| Shoulder arthroscopy – examination under anesthesia | 4 | 60 (30–60) | 0–60 |
| Removal of elbow plates/screws – general anesthesia | 5 | 40 (40–60) | 30–60 |
| Resection arthroplasty/arthrodesis (hammer toe deformity) | 3 | 60 (40–90) | 40–90 |
| Open reduction internal fixation hand | 4 | 35 (15–50) | 0–60 |
IQR = interquartile range.