Percutaneous Rectus Sheath Block Versus Intra-operative Rectus Sheath Block for Pediatric Umbilical Hernia Repair
Status:
Completed
Trial end date:
2016-04-01
Target enrollment:
Participant gender:
Summary
This is a prospective, double-blinded, randomized controlled study comparing the efficacy of
pre-incisional percutaneous rectus sheath block to intra-operative rectus sheath block under
direct visualization prior to closure of the incision for providing post-operative analgesia
following umbilical hernia repair in children. The current management for reducible umbilical
hernias is umbilical hernia repair under general anesthesia as an outpatient procedure.
Patients aged 3-18 years old with a diagnosis of umbilical hernia will be screened for study
inclusion. Eligible patients and their parents/guardians will be approached and, if
agreeable, consented for the study pre-operatively. Patients will be randomized to receive
either pre-incisional percutaneous rectus sheath block by the anesthesiologist or
intra-operative rectus sheath block under direct visualization prior to closure of the skin
incision by the surgeon. The patient, patient guardians, select research team members, and
post-anesthesia care unit (PACU) staff will be blinded to the method of analgesic
administration.