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[Effectiveness of Sacral Intervertebral Epidural Block for Umbilical Hernia Repair in Children]
Insights
The sacral intervertebral epidural block (S 2-3 block) is effective for managing postoperative pain in pediatric umbilical hernia repair. This anesthesia technique demonstrated stable hemodynamics and reduced the need for additional analgesics.
Area of Science:
- Pediatric Anesthesiology
- Regional Anesthesia
- Surgical Pain Management
Background:
Effectiveness of sacral intervertebral epidural block (S 2-3 block) for umbilical hernia repair has not been clarified.
Method:
We investigate 24 children, undergoing umbilical hernia repair; mean age of 3 years (age range: 20-65 months). Under general anesthesia, epidural block was performed at S 2-3 interspace with 1 ml x kg(-1) ropivacaine (0.2%) at injecting rate of 1 ml x sec(-1) followed by 0.25 ml x kg(-1) normal saline.
Results:
In all cases, neither systolic blood pressure nor heart rate increased > 15% from those just before the block. Postoperative analgesics were given in 6 patients (25%) rectally. Mean time between the block and the administration of analgesic was 10.5 hours.
Conclusions:
S 2-3 block can be effective for postoperative pain in umbilical hernia repair.
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