Obstructed umbilical hernia repair under bilateral rectus sheath block for a high-risk patient: A case report

We present a case of an open hernia repair for an obstructed Umbilical Hernia for a 77-year-old male patient categorized as ASA 4E with multiple comorbidities under Bilateral Rectus Sheath Block.A bilateral rectus sheath block was performed under real-time ultrasonographic guidance. He is a known case of coronary artery disease and double vessel disease and was on dual antiplatelet therapy. Due to the patient’s significant perioperative risks, the surgery was performed under ultrasonography-guided bilateral rectus sheath block. The patient tolerated the surgery well, with minimal further sedation.