Publications by authors named "Bryan Knoedler"
Article Synopsis
- The study focuses on reducing opioid use after ventral hernia repair (VHR) by implementing a standardized discharge prescribing protocol, promoting alternative pain relief methods such as ibuprofen and acetaminophen.
- Data from two six-month periods (before and after protocol implementation) showed a significant 57% decrease in prescribed opioid milligram morphine equivalents (MME), from an average of 322.7 to 141.6 MME after the protocol was introduced.
- This multimodal approach not only lowered opioid prescriptions but also increased the usage of non-opioid analgesics, reflecting a shift towards safer pain management strategies in postoperative care.
Background: There is no consensus on the treatment of blunt vertebral artery injuries, and studies are limited to small case series. We assessed the natural history and current management of these injuries.
Methods: We performed a retrospective study of a prospectively collected registry at a level I trauma center over a 5-year period.
Parastomal hernias (PHs) cause significant morbidity in patients with permanent ostomies, and several laparoscopic and open repair techniques have been described. We report our experience with open retromuscular repair of PHs using permanent synthetic mesh. A prospectively maintained database was retrospectively reviewed to identify patients undergoing PH repair.
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