title: Paraumbilical block for umbilical herniorraphy.
abstract: BACKGROUND
  Umbilical herniorraphy is a common paediatric surgery day case. Paraumbilical blocks have previously been reported to provide excellent analgesia for umbilical hernia repairs.
  
  
  METHODS
  Local anaesthesia through a paraumbilical block was compared with local infiltration. Postoperative analgesic requirements were used to gauge the effectiveness of the techniques.
  
  
  RESULTS
  Patients receiving a paraumbilical block required significantly less analgesia postoperatively. These patients were generally discharged from hospital sooner.
  
  
  CONCLUSIONS
  Paraumbilical block results in improved postoperative pain control through the more precise delivery of local anaesthetic to the intercostal nerves.
authors.affiliation: Department of Surgery, John Hunter Children's Hospital, New South Wales, Australia.
authors.forename: Frederick K
authors.initials: FK
authors.lastname: Clarke
authors.forename: John G
authors.initials: JG
authors.lastname: Cassey
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000188:drug therapy; D014472:Umbilicus