Bloc paraombilical pour l’anesthésie de la hernie ombilicale étranglée en urgence

Dareau, S.; Gros, T.; Bassoul, B.; Giordan, J; Causse, Lise; Delire, V.; Eledjam, J.J.

doi:10.1016/j.annfar.2007.12.011

Cited by 7 publications

(3 citation statements)

References 11 publications

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“…[ 39 ] Furthermore, this technique is safe for incarcerated UH too, as previously reported in the literature. [ 40 ] Four-fifths of our patients benefited from an incision in the lower skin crease, the classical exposure, as shown by other authors. [ 2 16 25 ] This exposure is mainly chosen for cosmetic purposes.…”

Section: Discussionsupporting

confidence: 64%

Management of umbilical hernia in African children: The experience of 2146 cases

Ngom

Zeng

Sagna

et al. 2023

J Indian Assoc Pediatr Surg

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Aims: Umbilical hernia (UH) is common in African and African-descent children. In high-income countries (HICs), it is considered benign, which is not the case in Sub-Saharan ones. Through this study, we aimed to share our experience. Materials and Methods: A descriptive review was conducted from January 01, 2012 to December 31, 2017 at Albert Royer National Children's Hospital Center. Among the 2499 patients, 2146 cases were included in the review. Results: UH had a frequency of 6.5%, with patients having a mean age of 2.6 years, with a male preponderance of 63%. Emergency consultation occurred in 37.1%. The symptomatic hernia was present in 90.9%. The congenital type was found in 96%, a history of painful episodes was reported in 46%, and medical and surgical comorbidities were found in 30.1% and 16.4%, respectively. Multimodal anesthesia was used in 93.1%. A lower umbilical crease incision was made in 83.2%, the sac was not empty in 16.3%, and additional umbilicoplasty was performed in 16.3%. During a 14-month follow-up, a complication occurred in 6.5% and mortality in 0.05%. Conclusion: In our region, the pediatric UH was predominantly symptomatic, with its natural evolution leading to more complications than in HICs. Its management carried acceptable morbidity.

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Section: Discussionsupporting

confidence: 64%

Management of umbilical hernia in African children: The experience of 2146 cases

Ngom

Zeng

Sagna

et al. 2023

J Indian Assoc Pediatr Surg

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“…For patients with 3 to 4 ASA class, general or spinal anaesthesia is risky, and RSB is the best alternative option in such high-risk patients 3 .…”

Section: Discussionmentioning

confidence: 99%

“…Rectus sheath block will provide an alternative platform for surgery with good conditions and procured prolonged postoperative analgesia. This block, easy to perform, is an interesting alternative in emergency cases for general or spinal anaesthesia in high-risk patients 3 . No cases have been published worldwide on strangulated PUH under rectus sheath block.…”

Section: Introductionmentioning

confidence: 99%

Novel Technique In Strangulated Para-Umbilical Hernia Repair Under Local Anaesthesia Block For High-Risk Patient : Case Report

2018

IJCR

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Background: Strangulated hernia is one of the most emergency cases that require surgery under general anaesthesia. Here, we present a rare case of strangulated PUH repair done under rectus sheath block (RSB). Case Presentation: We report here a case of a 74-year-old male with diabetes mellitus, hypertension, ischemic heart disease with ejection fraction 20% who presented to our ER with peri-umbilical hernia (PUH) swelling and constipation. On examination, incarcerated PUH was found with massive ascites. Under local anaesthesia, rectus sheet block was performed. During midline laparotomy, there was a supra-umbilical hernia defect of about 3 cm narrow neck containing bowel loop about 5-7cm in length, initially appeared ischemic then regain Its normal colour, primary repair done for the defect. No complication was observed in the post-operative period. Discussion: Strangulated hernia is an emergency case that requires surgical intervention, hernia reduction and resection of necrotic tissue if needed. PUH repair as a day case by using local anaesthesia is a good option as it has advantages of low recurrence and infection rate. For patients with 3 to 4 ASA class, general or spinal anaesthesia is risky, and RSB is the best alternative option in such high-risk patients. Conclusion: Rectus sheath block is a good option for strangulated PUH patients.

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Traitement de la hernie ombilicale de l'adulte

Pélissier¹,

Armstrong²,

Ngo³

2011

EMC - Techniques chirurgicales - Appareil digestif

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Bloc paraombilical pour l’anesthésie de la hernie ombilicale étranglée en urgence

Cited by 7 publications

References 11 publications

Management of umbilical hernia in African children: The experience of 2146 cases

Management of umbilical hernia in African children: The experience of 2146 cases

Novel Technique In Strangulated Para-Umbilical Hernia Repair Under Local Anaesthesia Block For High-Risk Patient : Case Report

Traitement de la hernie ombilicale de l'adulte

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