Multimodal Pain Therapy 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