Perioperative Narcotic Trends in Women Undergoing Minimally Invasive Myomectomy

Abstract Study Objective Evaluate the perioperative narcotic utilization patterns at the time of myomectomy, specifically as they relate to the opioid epidemic. We also aim to evaluate the differences between conventional laparoscopy and robotic surgery in terms of narcotic utilization. Design Retrospective cohort study Setting A single academic university hospital Patients Women undergoing minimally invasive myomectomy Intervention(s) Laparoscopic or Robotic-Assisted myomectomy Measurements and Main Results We identified 312 minimally invasive myomectomies to be included in the final analysis. For the entire cohort then mean age was 35.7 ± 5.1 years and mean Body Mass Index was 28.3 ± 6.3. Of the 312 myomectomies included 239 (76.6%) were performed using robotic assistance and the remainder (23.4%) were performed by conventional laparoscopy. A statistically significant inverse relationship was found between year of myomectomy and perioperative narcotic administration (p Conclusions Perioperative narcotic administration for minimally invasive myomectomy has decreased following widespread awareness of the national opioid crisis.