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Invited Commentary
August 2013

Pain Control After Umbilical Hernia RepairHow Difficult Can We Make It?

Author Affiliations
  • 1Division of Pediatric Surgery, Department of Surgery, Washington University School of Medicine, St Louis Children’s Hospital, St Louis, Missouri
JAMA Surg. 2013;148(8):713-714. doi:10.1001/jamasurg.2013.1453

Important to the overall experience for a child undergoing elective surgery is effective pain management. In this excellent study by Dingeman et al,1 a randomized prospective trial compared infiltration of local anesthetic with an ultrasonography-guided bilateral rectus sheath block (BRSB) after umbilical hernia repair. The authors report that the overall pain scores were better with fewer supplemental pain medications needed in the BRSB group.

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