Most individuals who are contemplating surgical intervention are concerned about acute post-operative pain. A comprehensive program as you will find at Sun Coast Bariatrics involves preoperative education, pain management planning, and use of different pharmacological and non-pharmacological modalities. It is our goal to create a plan of care tailored to your individual needs for optimal management. We treat each person individually and understand that everyone senses and experiences pain differently. Our team will work collaborative to ensure the needs of our patients are met during their procedure.

At our accredited facilities one of our goals is to limit the amount of opioids at the same time we want to achieve patient comfort. To accomplish this, we use multimodal analgesia which is the use of a variety of analgesic medications and techniques that target different mechanisms of action in the peripheral and/or central nervous system.

Some medications may include:

  • Nonsteroidal anti-inflammatory drugs (NSAID)
  • Muscle relaxants
  • Local/topical anesthetics
  • Antidepressants
  • Beta blockers
  • Acetaminophen

Some treatment options may include:

  • On-Q-Pain Relief System which is a post-operative non-narcotic elastomeric pump that automatically and continuously delivers a regulated flow of local anesthetic to a patient’s surgical site or in close proximity to nerves. This therapy usually lasts for 4 – 5 days and is removed by the patient at home.
    • It is easy to remove the pain pump with these easy steps:
      • Remove the clear plastic bandages and white tape. It is ok if they stick to the catheters, just make sure they are not stuck to the skin.
      • Grab the catheters as they exit from skink beneath the breast bone.
      • Gently pull both catheters until they are out of the skin. WARNING: The catheters are long, so don’t be alarmed. The tips of each catheter will be black to help ensure the complete removal.
      • Remove the clear plastic bandages and white tape. It is ok if they stick to the catheters, just make sure they are not stuck to the skin.
      • Grab the catheters as they exit from skink beneath the breast bone.
      • Gently pull both catheters until they are out of the skin. WARNING: The catheters are long, so don’t be alarmed. The tips of each catheter will be black to help ensure the complete removal.
      • Throw everything in the trash. You do not need to return anything to the office.
      • No need to cover the site unless you experience drainage. The opening should seal over within 48 hours. It is ok to shower immediately.
  • Tap Block is a peripheral nerve block designed to numb the nerves supplying the anterior abdominal wall. A Tap Block is usually a onetime injection. A TAP will start to wear off after 12 – 24 hours.

The benefits of this approach may include:

  • Quicker recovery
  • Reduced nausea/constipation that is usually associated with opioids
  • Early ambulation
  • Shorter pain recovery time
  • Quicker introductions of fluids and food
  • Reduction in hospital length of stay

You can help your doctors and nurses “measure” your pain. While you are recovering, your health care team will frequently ask you to rate your pain on a scale of 1 to 10 with “0” being no pain and “10” being the worst pain you can imagine.