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September 10, 2025Deleted JournalOpen Access

Ultrasound Guided Serratus Anterior Plane Block Versus Costotransverse Block on Postoperative Analgesia and Safety Following Modified Radical Mastectomy Surgeries

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Authors

AAAhmed Saoudy AbdelghafourAAAbdalla M AbdallaMEMohamed Saeed Abd Elaziz

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Overview

Observational analysis shows costotransverse block provides better pain management than serratus anterior plane block in postoperative patients, indicating its potential for improved outcomes.

Key Points

  • Costotransverse block significantly reduces pain compared to serratus anterior plane block at 12 and 24 hours post-surgery.
  • The incidence of post-mastectomy pain syndrome was lowest in the costotransverse block group, with only 13.3% experiencing symptoms after 6 months.
  • In this trial, patients receiving patient-controlled analgesia had the highest pain control failure at 46.7%.
  • Visual Analog Scale measurements at 0, 6, 12, and 24 hours indicate the effectiveness of each block in pain management.

Cite This Study

Abdelghafour et al. (2025) studied this question.

synapsesocial.com/papers/68c1ae7754b1d3bfb60e6735https://doi.org/10.5812/jcma-161248
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Efficacy of Peripheral Nerve Stimulator Guided Pectoral Nerve Block-1 and Serratus Anterior Plane Block for Post-operative Analgesia in Modified Radical Mastectomy: A Randomized Controlled Study2024
  2. 2Comparative Study between Ultrasound Guided Serratus Anterior Plane Block versus Thoracic Epidural as Postoperative Pain Management in Modified Radical Mastectomy2024 · 1 citations
  3. 3Comparison Between Erector Spinae Plane Block versus Serratus Anterior Plane Block Regarding Analgesia and Stress Response After Modified Radical Mastectomy: Randomized Controlled Trial2024 · 1 citations
  4. 4Comparative Study between Modified Pectoral Nerve Block versus Serratus Block for Analgesia For Modified Radical Mastectomy2024
  5. 5Comparison of the effectiveness of the SPB and TTP block combinations versus the PECS 2 block in modified radical mastectomy: a prospective randomized study2026