Symptoms and General Pathology

All Conditions

Neoplasms

Skin and Connective Tissue Diseases

Rare Diseases

Pain, Postoperative

Breast Neoplasms

Chronic Pain

Pain

Mastodynia

Breast Diseases

Skin Diseases

Chronic Graft Versus Host Disease

Central Nervous System Depressants

All Drugs and Chemicals

Analgesics

Anesthetics

Analgesics, Opioid

Before the surgery, US-guided SAP block will be performed

Before the surgery, US-guided PECS II block will be performed

Before the surgery, US-guided ESP blockwill be performed

US-guided SAP block is performed approximately 30 minutes before the surgery in patients undergoing breast cancer surgery in a separate regional anesthesia room with standard anesthesia monitoring.

SAP block group

US-guided PECS II block is performed approximately 30 minutes before the surgery in patients undergoing breast cancer surgery in a separate regional anesthesia room with standard anesthesia monitoring.

PECS II block group

US-guided ESP block is performed approximately 30 minutes before the surgery in patients undergoing breast cancer surgery in a separate regional anesthesia room with standard anesthesia monitoring.

ESP block group

Control group

Arzu Karaveli, M.D.

Antalya Training and Research Hospital

Hafizenur O Atalay, M.D.

Arzu O Karaveli, M.D.

The aim of this study was to evaluate the efficacy of serratus anterior plane (SAP) block, pectoserratus plane (PECS II) block, and erector spinae plane (ESP) block on postoperative acute pain, quality of recovery and chronic pain in breast cancer surgery patients.

Breast cancer is the most common type of cancer in women. Although surgical treatment is effective and curative, it is associated with many complications in the postoperative period. Acute pain after surgery is one of them. Approximately half of women undergoing breast surgery describe significant post-operative pain (\>5 on the Visual Analogue Scale; VAS) score that is not always effectively controlled by standard post-operative treatments. Poorly controlled postoperative pain has been associated with impaired functional recovery, delayed discharge from the post-anesthetic care unit, and prolonged hospital stay. In addition, poorly managed acute pain becomes chronic and is described as 'post-mastectomy pain syndrome'. Regional techniques can reduce acute and chronic postoperative pain. The development of ultrasonography (US)-guided regional anesthesia has led to the development of fascial plane blocks. Serratus anterior plan (SAP) block, pectoserratus plan (PECS II) block, and erector spina plan (ESP) block are frequently used for postoperative analgesia in patients undergoing breast surgery. he aim of this study was to evaluate the efficacy of serratus anterior plane (SAP) block, pectoserratus plane (PECS II) block, and erector spinae plane (ESP) block on postoperative acute pain, quality of recovery and chronic pain in breast cancer surgery patients.

The patients scheduled for elective breast surgery (modified radical mastectomy, breast conserving surgery, simple mastectomy, axillary lymph node dissection, etc.)

The Effect of Ultrasonography-guided Fascial Plane Blocks in Breast Cancer Surgery Patients

The Effect of Ultrasonography-guided Pectoserratus Plane Block, Erector Spina Plane Block and Serratus Anterior Plane Block on Postoperative Opioid Consumption, Recovery Quality and Chronic Pain in Breast Cancer Surgery Patients

All patients will receive a standard patient controlled analgesia (PCA) protocol. The postoperative opioid consumption will only be recorded.

The Quality of Recovery-15 (QoR-15) is a 15-question questionnaire validated to assess poetoperative recovery. This questionnaire assesses patients' pain, physical comfort, physical independence, psychological support, and emotional status in the erly postoperative period. The patient is asked to express their status scoring from 0 to 10; therefore, the total score ranges from 0 to 150 points.

Patients will be telephoned 3 months after the operation and the presence, localization, and intensity of the pain, its character, and its relation with rest and/or activity will be recorded by asking only verbally.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
The Effect of Ultrasonography-guided Fascial Plane Blocks in Breast Cancer Surgery Patients	NCT06419504	Breast Cancer	SAP block group PECS II block g... ESP block group Control group	18 Years - 65 Years	Antalya Training and Research Hospital
The Effect of Ultrasonography-guided Fascial Plane Blocks in Breast Cancer Surgery Patients	NCT06419504	Breast Cancer	SAP block group PECS II block g... ESP block group Control group	18 Years - 65 Years	Antalya Training and Research Hospital
The Effect of Ultrasonography-guided Fascial Plane Blocks in Breast Cancer Surgery Patients	NCT06419504	Breast Cancer	SAP block group PECS II block g... ESP block group Control group	18 Years - 65 Years	Antalya Training and Research Hospital

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