The surgical rectus sheath block for post-operative analgesia: a modern approach to an established technique.

Objective: To describe the surgical rectus sheath block for post-operative pain relief following major gynaecological surgery.

Technique: Local anaesthetic (20 ml 0.25% bupivacaine bilaterally) is administered under direct vision to the rectus sheath space at the time of closure of the anterior abdominal wall.