title: [Paraumbilical block for strangulated umbilical hernia in emergency].
abstract: The authors describe a strangulated umbilical hernia surgery performed in emergency with a paraumbilical block associated with a local infiltration. For this patient, 3-4 ASA status, in occlusion, with iterative vomiting and coagulation disorders, general or spinal anaesthesia were high-risk technics. Paraumbilical block, sometimes used for anaesthesia or/and analgesia for programmed umbilical hernia surgery, allowed surgery with good conditions and procured prolonged postoperative analgesia. This block, easy to perform, is an interesting alternative in emergency for general or spinal anaesthesia in high-risk patients.
authors.affiliation: Département d'anesthésie réanimation, clinique mutualiste Beausoleil, 119, avenue de Lodève, 34070 Montpellier, France. s.dareau@languedoc-mutualite.fr
authors.forename: S
authors.initials: S
authors.lastname: Dareau
authors.forename: T
authors.initials: T
authors.lastname: Gros
authors.forename: B
authors.initials: B
authors.lastname: Bassoul
authors.forename: J
authors.initials: J
authors.lastname: Giordan
authors.forename: L
authors.initials: L
authors.lastname: Causse
authors.forename: V
authors.initials: V
authors.lastname: Delire
authors.forename: J-J
authors.initials: JJ
authors.lastname: Eledjam
mesh_terms: D000368:Aged; D004636:Emergency Service, Hospital; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D009407:Nerve Block / Q000379:methods*; D011184:Postoperative Period; D016896:Treatment Outcome