Journal of pediatric surgery
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of wound instillation and caudal block for analgesia following pediatric inguinal herniorrhaphy.
Regional analgesia, in a variety of forms, has been shown to afford effective postoperative pain relief after pediatric inguinal hernia repair. This study compares the efficacy of wound instillation with 0.25% bupivacaine (n = 20), caudal block with 0.25% bupivacaine (n = 35), and a control group (n = 15). ⋯ Operating room time was not statistically different between the three groups. The use of perioperative analgesic blocks resulted in quicker awakening, a more comfortable postoperative course, and potentially earlier discharge from same-day surgery.