Opioid Prescriptions Practices Following the Minimally Invasive Repair of Pectus Excavatum: A Western Pediatric Surgery Research Consortium Study

jpedsurg.org

Minimally invasive repair of pectus excavatum (MIRPE) is among the most painful elective procedures in pediatric patients and is frequently managed with both inpatient and outpatient opioids. However, opioid prescribing practices vary, and evidence-based discharge guidelines are lacking. This study aimed to evaluate outpatient opioid prescribing patterns following MIRPE across multiple institutions.

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Article · Dec 2025 · 1 min read

In brief

This multi-institutional study examines outpatient opioid prescribing patterns after minimally invasive pectus excavatum repair (MIRPE), one of pediatric surgery's most painful elective procedures. The research addresses significant practice variation and lack of evidence-based discharge guidelines for post-operative pain control.

MIRPE is one of the most painful elective pediatric procedures, requiring careful opioid management both inpatient and outpatient.
Current opioid prescribing practices after MIRPE discharge vary widely across institutions without standardized guidelines.
Evidence-based discharge opioid protocols are needed to optimize pain control while minimizing overprescribing risks.
Multi-institutional study reveals lack of consensus on appropriate opioid quantities and duration post-MIRPE.

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