Symptoms and General Pathology

All Conditions

Neoplasms

Skin and Connective Tissue Diseases

Nervous System Diseases

Rare Diseases

Pain, Postoperative

Breast Neoplasms

Syndrome

Chronic Pain

Pain

Mastodynia

Neurologic Manifestations

Breast Diseases

Skin Diseases

Postoperative Complications

Chronic Graft Versus Host Disease

Central Nervous System Depressants

All Drugs and Chemicals

Anti-Arrhythmia Agents

Channel Blockers

Analgesics

Pharmaceutical Solutions

Anesthetics

Lidocaine

Anesthetics, Local

A deep analgesic block of the Serratus anterior plane block (SAPB) type by echo-guided lateral approach will be performed by An 8-13 Mhz high frequency linear ultrasound probe witch will be located cranio-caudally, transversely to the 3rd and 4th intercostal space on the mid-axillary line while patients are supine with the ipsilateral upper limb raised to 90°.

Once the landmark anatomical structures have been identified (upper rib, lower rib, pleural line, Serratus muscle, superficial structures), the puncture will begin Under aseptic conditions, an 80 mm 22 gauge needle will be inserted into the "in-plane" view of the ultrasound probe. When the needle has reached the plane under Serratus between the Serratus muscle and the intercostal muscle opposite the lower edge of the upper rib, 30 ml of 1% Lidocaine will be administered.

Serratus Anterior Plane Block with local anesthetic

A deep analgesic block of the Serratus anterior plane block (SAPB) type by echo-guided lateral approach will be performed by An 8-13 Mhz high frequency linear ultrasound probe witch will be located cranio-caudally, transversely to the 3rd and 4th intercostal space on the mid-axillary line while patients are supine with the ipsilateral upper limb raised to 90°.

Once the landmark anatomical structures have been identified (upper rib, lower rib, pleural line, Serratus muscle, superficial structures), the puncture will begin Under aseptic conditions, an 80 mm 22 gauge needle will be inserted into the "in-plane" view of the ultrasound probe. When the needle has reached the plane under Serratus between the Serratus muscle and the intercostal muscle opposite the lower edge of the upper rib, 30 ml of saline solution

Serratus Anterior Plane Block with saline solution

Abdelilah GHANNAM, MD

Chronic postoperative pain (CPP) remains a disturbing and obscure clinical problem.

The hypothesis of this trial is that a peripheral block of the serratus anterior plane block type preoperatively after a modified radical mastectomy makes it possible to reduce the intensity and incidence of chronic post-surgical pain in breast cancer.

Women Having to undergo an elective unilateral modified total mastectomy with dissection of the axillary lymph nodes (modified Patey procedure) for curative purposes for oncological pathology of the breast, performed in the operating room of the Gyneco-mammary center of INO, without breast reconstruction

Serratus Anterior Plane Block to Prevent Chronic Postoperative Pain in Breast Cancer

Serratus Anterior Plane Block to Prevent Chronic Pain in Breast Cancer Surgery: A Randomized Controlled Trial

A question will be asked to patients : "Throughout our lives, most have had pain (like headaches, sprains and toothaches). Have you had pain other than these types of pain on a daily basis since your surgery? " The answer "yes" or "no" will determine the outcome

Pain intensity of patients was evaluated by Numerical Rating Scale, rating from 0 (no pain) to 10 (extreme pain) in order to evaluate the effect of Serratus Anterior Plane Block in preventing chronic pain

Pain intensity of patients was evaluated by Arabic version of Brief pain inventory

Neuropathic pain will be screened by "Douleur Neuropathique 4" score

Morphine rescue dose for extra need of analgesic

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Serratus Anterior Plane Block to Prevent Chronic Postoperative Pain in Breast Cancer	NCT05494281	Breast Neoplasm... Pain, Postopera... Pain, Chronic Post-Mastectomy...	Serratus Anteri... Serratus Anteri...	18 Years - 70 Years	Moroccan Society of Surgery
Serratus Anterior Plane Block to Prevent Chronic Postoperative Pain in Breast Cancer	NCT05494281	Breast Neoplasm... Pain, Postopera... Pain, Chronic Post-Mastectomy...	Serratus Anteri... Serratus Anteri...	18 Years - 70 Years	Moroccan Society of Surgery

Spots Global Cancer Trial Database for serratus anterior plane block with local anesthetic