bandage-green

Pediatric Hernia Repair (Inguinal / Umbilical / Hydrocele)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 30-60 min (short)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Not needed for the repair itself; a single intubating dose only if a tube is chosen in a small or ex-premature infant.
Blocks : Caudal, Ilioinguinal/Iliohypogastric, Rectus Sheath
Considerations : Aspiration risk / Full stomach, PONV

Anesthetic Approaches

1GLMA, Mask Induction, Nerve Block
2GETT, Mask Induction, Nerve Block
3Spinal
The Surgery

Incision - a short transverse cut in a lower abdominal skin crease for an inguinal hernia or hydrocele, or in the infraumbilical skin fold for an umbilical hernia. Dissecting the sac - the external...

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