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Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia in Mastectomy

RecruitingNA

Sponsor: Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital

Conditions: Breast Cancer

Interventions: SPSIP Block With Bupivacaine, SPSIP Block With Saline

Countries: Turkey (Türkiye)

This study aims to evaluate the effect of serratus posterior superior intercostal plane (SPSIP) block on postoperative pain, opioid consumption, and analgesic requirements in patients undergoing mastectomy and axillary lymph node dissection

Eligibility overview

Sex: FEMALE

Age: 18 Years to 65 Years

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

* Female patients aged 18-65 years
* ASA physical status I-III
* Scheduled for elective unilateral mastectomy with axillary lymph node dissection under general anesthesia
* Able to understand and use the Numeric Rating Scale (NRS) for pain assessment
* Provided written informed consent

Exclusion Criteria:

* Known allergy or hypersensitivity to local anesthetics (e.g., bupivacaine)
* Coagulopathy, thrombocytopenia (\<100,000/mm³), or ongoing anticoagulant/antiplatelet therapy that cannot be discontinued
* Infection or skin lesion at the injection site
* Planned bilateral surgery or additional major surgical procedures
* Chronic pain conditions or regular use of opioids, gabapentinoids, or centrally acting analgesics
* Neurological or psychiatric conditions interfering with pain assessment
* History of previous major thoracic or chest wall surgery on the same side
* Pregnancy or breastfeeding
* Refusal to participate or inability to provide informed consent

Locations (1)

Diyarbakır, Outside of the US, Turkey (Türkiye)