Ultrasound-guided lumbar erector spinae plane block: The sole anesthetic method for emergent strangulated inguinal herniorrhaphy for a patient on anticoagulant treatment

Abstract

To the Editor; Strangulated inguinal hernia is an emergent surgical condition. Surgical treatment should be provided as soon as it is diagnosed to prevent bowel necrosis and the relief of pain. Neuraxial block is con- traindicated when international normalized ratio (INR) is > 2. Therefore general anesthesia was provided for the patients on antic- oagulant medication with INR > 2...