umbilical hernia postoperative pain rectus sheath block
Conditions
Interventions
ultrasound guided bilateral rectus sheath block
local wound infiltration.
Sponsors
maxima medical centre
Eligibility
Inclusion criteria
Inclusion criteria: Adult (>18 years old) ASA-classification between I-III, elective open primary umbilical hernia repair.
Exclusion criteria
Exclusion criteria: - primary umbilical hernia repair via scopic surgical technique. - emergency umbilical hernia repair - previous history of umbilical hernia repair. - simultaneous repair of other hernia defects - other surgical procedures performed during the primary umbilical hernia repair. - Patients with an ASA-classification >III. - Patients with any contraindications for an ultrasound guided bilateral rectus sheath block. - allergy for LA drugs - chronic treatment with analgesic drugs - previous history with the medical subspecialty of Pain Medicine. - previous history of a laparotomy or stoma. - no informed consent (IC) - impaired mental capacity for self- determination.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| proportion of patients with a pain intensity of 3 or less, as assessed by the NRS | — |
Secondary
| Measure | Time frame |
|---|---|
| postoperative pain intensity as assessed by the NRS postoperative use of analgesics time to first dose of opiate analgesic the incidence of PONV the incidence of SAE related to USBRSB and LWI | — |
Contacts
Public ContactB.P.C.M. van de Ven
Maxima Medisch Centrum Veldhoven
Outcome results
None listed