Efficacy of Pectoral Nerve Block for Breast Reduction Surgery

Comparison of The Effects of Pectoral Nerve Block and Local Infiltration Anesthesia on Postoperative Analgesia for Breast Reduction Surgery

The purpose of the study is to evaluate the efficacy of PECS block applied to patients undergoing bilateral breast reduction surgery on postoperative analgesia compared to local infiltration anesthesia.

Pectoral nerve block (PECS block) has been developed as an alternative to thoracic paravertebral and/or thoracic epidural blocks in recent years. It is frequently applied for postoperative analgesia especially in breast cancer surgery and subpectoral breast prosthesis.

Inclusion Criteria:

• American Society of Anesthesiology (ASA) I-II
• body mass index (BMI) ≤40 kg/m2
• elective bilateral breast reduction surgery

Exclusion Criteria:

• declining to give written informed consent
• ASA III and above
• under 18 years of age or over 65 years of age
• history of allergy against to the local anesthetics,
• controendication of peripheral block or local anesthetic infiltration (local infection, coagulopathy, etc.)
• history of breast surgery
• treatment due to psychiatric disorder
• history of treatment for a chronic pain
• history of nerve blocks in order to treat postoperative pain