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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group IPP-PSP | Active Comparator | Interpectoral-Pectoserratus Plane Block |
|
| Group SPSIPB | Active Comparator | Serratus Posterior Superior Intercostal Plane Block |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interpectoral-Pectoserratus Plane Block | Procedure | Ultrasound-guided injection between pectoralis major-minor and pectoralis minor-serratus anterior planes. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative opioid consumption | Cumulative opioid consumption in the first 24 postoperative hours after the completion of the surgical procedure | in the first 24 hours after completion of the surgical procedure |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | first day after surgery |
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Inclusion Criteria:
Exclusion Criteria: • Ages <18 and >65
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| çağdaş baytar, MD | Contact | +905542255960 | cagdasbaytar31@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zonguladk Bulent ecevit University | Zonguldak | Kozlu | 67600 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D001943 | Breast Neoplasms |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| Serratus Posterior Superior Intercostal Plane Block | Procedure | Ultrasound-guided injection between the serratus posterior superior muscle and the intercostal muscles. |
|
| 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 | In the first 24 hours after completion of the surgical procedure |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |