About this trial
This prospective, randomized clinical study aims to compare the analgesic efficacy of the interpectoral-pectoserratus plane block and the serratus posterior superior intercostal plane block for postoperative pain management in patients undergoing breast cancer surgery. Both techniques are ultrasound-guided regional anesthesia methods targeting different interfascial planes of the thoracic wall. The study will evaluate postoperative pain scores, opioid consumption, Quality of recovery and potential complications. The findings are expected to contribute to optimizing regional anesthesia strategies for enhanced recovery and improved analgesia following breast cancer surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
18-65 years of age
ASA I-II-III risk groups
Patients with informed consent
Patients undergoing breast cancer surgery
Disqualifiers
ASA ≥ IV
History of allergy to local anesthetics
Known coagulation disorders
Infection near the insertion site
Trial design
Parallel
Treatments tested in this trial
Interpectoral-Pectoserratus Plane Block
Procedure/SurgeryUltrasound-guided injection between pectoralis major-minor and pectoralis minor-serratus anterior planes.
Serratus Posterior Superior Intercostal Plane Block
Procedure/SurgeryUltrasound-guided injection between the serratus posterior superior muscle and the intercostal muscles.
Treatment groups
Trial outcomes
Primary outcomes
Cumulative opioid consumption
Cumulative opioid consumption in the first 24 postoperative hours after the completion of the surgical procedure
Secondary outcomes
Postsurgical Quality of Recovery measured by the Quality of Recovery questionnaire
Postsurgical recovery by Quality of Recovery questionnaire (QoR-15) on first (D1) day after surgery. The minimum score on the Quality of Recovery questionnaire is 0 and the maximum score 150. Higher scores mean better quality of recovery.
Number of episodes of postoperative pain
Number of episodes of postoperative pain (NRS score ≥ 4) at rest and at deep inspiration in the first 24 postoperative hours after the completion of the surgical procedure
Sponsors and contacts
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