SPSIPB Versus Deep SAPB for Analgesia After Breast Surgery

NCT ID: NCT06436599

Last Updated: 2026-01-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-13

Study Completion Date

2024-06-30

Brief Summary

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The application of regional anaesthetic procedures in breast surgery is associated with a lower incidence of chronic pain, reduced morbidity, shorter hospital stay and less opioid requirement. Therefore, we aimed to compared the postoperative analgesic efficacy of Serratus Anterior Plan Block and Serratus Posterior Superior Intercostal Plan Block in breast surgery.

Detailed Description

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Breast surgery is one of the most common operations performed by General Surgery and may be associated with acute postoperative pain. Acute postoperative pain is an independent risk factor for the development of chronic pain after mastectomy. Various regional anaesthetic procedures have been tried to achieve better acute pain control and thus less chronic pain. The use of regional anaesthetic procedures in breast surgery is associated with a lower incidence of chronic pain, reduced morbidity, shorter hospital stay and less opioid requirement.

Interfascial plane blocks have become popular because they are easy to perform and safe. Since interfascial plan blocks are based on the injection of local anaesthetic between two fasciae, the complication rate such as nerve damage is very low. With this method, effective analgesia can be provided in various areas such as abdominal, thoracic and lumbar regions while reducing opioid consumption and avoiding neuraxial methods.

In randomised controlled trials investigating the efficacy of Serratus Anterior Plane Block for postoperative analgesia management after breast surgery, adequate analgesia was reported.

Serratus posterior superior intercostal plan block, a newly defined interfascial plan block, has been shown to provide a wide sensory blockade between intercostal muscles. Postoperative analgesic efficacy has been demonstrated in thoracic, breast and shoulder surgeries.

The aim of our study was to compared the postoperative analgesic efficacy of Serratus Anterior Plan Block and Serratus Posterior Superior Intercostal Plan Block in breast surgery.

Conditions

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Analgesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

single blind
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Patients with serratus posterior superior intercostal plan block

Serratus posterior superior intercostal plane block was applied to a certain group of patients for postoperative analgesia

Group Type ACTIVE_COMPARATOR

plane block with %0.25 30 ml bupivacaine

Intervention Type OTHER

evaluation of the efficacy of two different plan blocks for postoperative analgesia

Patients with serratus anterior plan block

Serratus anterior plane block was applied to a certain group of patients for postoperative analgesia

Group Type ACTIVE_COMPARATOR

plane block with %0.25 30 ml bupivacaine

Intervention Type OTHER

evaluation of the efficacy of two different plan blocks for postoperative analgesia

Interventions

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plane block with %0.25 30 ml bupivacaine

evaluation of the efficacy of two different plan blocks for postoperative analgesia

Intervention Type OTHER

Other Intervention Names

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postoperative analgesia

Eligibility Criteria

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Inclusion Criteria

* unilateral mastectomy(modified radial mastectomy)
* ASA I-III risk group

Exclusion Criteria

* Coagulopathy
* Wound and infection in the block area
* Local anaesthetic allergy
* Mental retardation
* Non-cooperative
* Pregnant patients
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Mustafa Burgac

OTHER

Sponsor Role lead

Responsible Party

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Mustafa Burgac

principal investigator

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Istanbul Professor Doctor Süleyman Yalçın City Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2023/0870

Identifier Type: -

Identifier Source: org_study_id

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