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Background <p>Both the pectoserratus plane block and the combined deep and superficial serratus anterior plane block (CSAPB) are recognized as effective regional anesthesia methods for pain control. This research aims to assess the ability of two different nerve blocks to provide analgesia.</p> Methods <p>The study included 60 patients who underwent modified radical mastectomy (MRM). Participants were allocated into separate groups: Group P (Pectoserratus Plane Block) and Group S (CSAPB). The primary outcome was the tramadol consumption, while the secondary outcome was the assessment of pain levels.</p> Results <p>The median (Q1, Q3) postoperative 24-hour tramadol consumption was 60 (60,80) mg in Group P and 60 (40,60) mg in Group S. (<i>p</i> = 0.006) Additionally, higher NRS scores were observed in group P at 2 and 4&#xa0;h.</p> Conclusions <p>In this study, we found that the CSAPB and the pectoserratus plane block provided comparable analgesic efficacy in patients undergoing MRM. This approach may serve as an effective alternative to the pectoserratus plane block.</p> Trial registration number <p>NCT05961735.</p>

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Comparison of the analgesic efficacy of combined superficial and deep serratus anterior plane block versus pectoserratus plane block following modified radical mastectomy surgery

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月28日

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  • Yusuf Ozguner,
  • Can Ozan Yazar,
  • Ferit Aydın,
  • Musa Zengin,
  • Emine Arık,
  • Mustafa Sırrı Kotanoğlu,
  • Savaş Altınsoy,
  • Julide Ergil

摘要

Background

Both the pectoserratus plane block and the combined deep and superficial serratus anterior plane block (CSAPB) are recognized as effective regional anesthesia methods for pain control. This research aims to assess the ability of two different nerve blocks to provide analgesia.

Methods

The study included 60 patients who underwent modified radical mastectomy (MRM). Participants were allocated into separate groups: Group P (Pectoserratus Plane Block) and Group S (CSAPB). The primary outcome was the tramadol consumption, while the secondary outcome was the assessment of pain levels.

Results

The median (Q1, Q3) postoperative 24-hour tramadol consumption was 60 (60,80) mg in Group P and 60 (40,60) mg in Group S. (p = 0.006) Additionally, higher NRS scores were observed in group P at 2 and 4 h.

Conclusions

In this study, we found that the CSAPB and the pectoserratus plane block provided comparable analgesic efficacy in patients undergoing MRM. This approach may serve as an effective alternative to the pectoserratus plane block.

Trial registration number

NCT05961735.