Regional Anesthesia Techniques for Circumcision and Congenital Inguinal Hernia Repair

Abstract

Abstract This chapter reviews the anesthetic and analgesic options and implications for two common pediatric procedures: herniorrhaphy and circumcision in former preterm patients. Several regional techniques are available for circumcision including the penile, pudendal nerve, ring blocks and topical anesthesia. For the hernia repair caudal analgesia, ilioinguinal/iliohypogastric nerve block, or field block are options. These techniques are reviewed, including block performance, safety, and risks/benefits. Local anesthetic systemic toxicity in pediatrics will be discussed. The chapter will also discuss disruptive behavior in the operating room. Management of disruptive behavior will be touched on as well.