About this trial
Postoperative pain after mastectomy remains a significant clinical problem that may impair patient comfort and delay early rehabilitation, potentially affecting functional recovery. Various analgesic techniques are used to manage postoperative pain. This study aims to compare serratus posterior superior intercostal plane block and erector spinae plane block, which are routinely used in our clinic for postoperative analgesia in patients undergoing mastectomy, in terms of ease of application and patient comfort.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female Gender
Mastectomy operation
25-65 years
American Society Anestheosiology Physical Status I-III
Disqualifiers
American Society Anestheosiology Physical Status IV
Alcohol or substance abuse
Known allergy to local anesthetics or opioids
Severe psychiatric disorders
Trial design
Parallel
Treatments tested in this trial
Serratus posterior superior intercostal plane block
Procedure/SurgeryParticipants in this group will receive an ultrasound-guided serratus posterior superior intercostal plane (SPSIP) block for postoperative analgesia following mastectomy. The block will be performed under standardized conditions prior to surgery according to the study protocol.
Erector Spinae Plane Block
Procedure/SurgeryParticipants in this group will receive an ultrasound-guided erector spinae plane (ESP) block for postoperative analgesia following mastectomy. The block will be performed under standardized conditions prior to surgery according to the study protocol.
Treatment groups
Trial outcomes
Primary outcomes
Ease of block application (procedure difficulty score)
The ease of application of the block will be evaluated using a 10-point numerical rating scale (0-10), where lower scores indicate easier application and higher scores indicate greater procedural difficulty. The score will be assigned by the anesthesiologist performing the block immediately after completion of the procedure.
Secondary outcomes
Postoperative pain score at 24 hours
Postoperative pain intensity will be assessed using a 10-cm Visual Analog Scale (0 = no pain, 10 = worst imaginable pain) at 24 hours after surgery.
Quality of recovery at 24 hours
Postoperative recovery quality will be assessed using the Quality of recovery (QoR-15) questionnaire at 24 hours after surgery. The total score ranges from 0 to 150, with higher scores indicating better recovery.
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