ArticleSaudi journal of anaesthesia
Rectus sheath block as the sole anesthesia technique for open surgical repair of umbilical hernias: A retrospective cohort study.
Article in Saudi journal of anaesthesia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The rectus sheath block is a regional anesthetic technique that provides effective analgesia for midline abdominal surgeries. This study evaluated the feasibility of the rectus sheath block as the sole anesthetic technique for open umbilical hernia repair. Methods: A retrospective observational cohort study was conducted at a single secondary care hospital between 2017 and 2024. A total of 201 adult patients who had an elective open umbilical hernia repair with a pre-operative rectus sheath block were included. Patients were stratified into two groups with respect to their anesthetic plan: rectus sheath block only and rectus sheath block with general anesthesia. Primary outcomes were conversion rate to general anesthesia in the rectus sheath block group, post-anesthesia care unit recovery times, and postoperative pain scores. Data were analyzed using non-parametric tests under the intention-to-treat principle, and a two-sided Results: The conversion rate to general anesthesia was 1.19%. The rectus sheath block group had significantly shorter post-anesthesia care unit recovery times (26.67 ± 13.57 min vs. 49.64 ± 23.91 min; Conclusion: The rectus sheath block is an effective sole anesthetic technique for open umbilical hernia repair, with a low conversion rate to general anesthesia.
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