Efficacy of Tramadol With Ropivacaine for Modified Pectoral Nerve Block in Breast Cancer Surgery

Comparison of Post Operative Analgesia Between 0.25% Ropivacaine and 0.25% Ropivacaine Combined With Tramadol in Ultrasound Guided Modified Pectoral Nerve Block for Patient Undergoing Modified Radical Mastectomy.

In this study the investigators will compare the post operative opoid consumption for patient undergoing modified radical mastectomy. The patients will be divided into two groups one group will receive modified pectoral nerve block with local anesthetic ropivacaine combined with tramadol and other group will receive pectoral nerve block with ropivacaine only

Inclusion Criteria:

1. Female Patients aged 20-70 years
2. Patients scheduled for elective unilateral modified radical mastectomy
3. Patients with ASAI andII physical status.

Exclusion Criteria:

1. Patients on anticoagulant therapy.
2. Patients with a BMI≥35 kg/m3.
3. Patients with a history of allergy to local anesthetics.
4. Patients with significant neurological or psychiatric disorders.
5. Pregnant patients.