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March 8, 2026BMC AnesthesiologyOpen Access

Comparison of erector spinae plane block and rhomboid intercostal block for postoperative pain management in patients undergoing unilateral breast surgery

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Authors

GAGülnihal AvcıSOSevim Cesur OkanHYHadi Ufuk Yörükoğlu

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Overview

Comparison of two nerve block techniques for postoperative pain relief in women undergoing unilateral breast surgery, suggesting similar efficacy.

Key Points

  • This study aimed to compare the effectiveness of erector spinae plane block and rhomboid intercostal block for managing postoperative pain.
  • Randomized controlled trial design
  • Inclusion of women over 18 undergoing unilateral breast surgery
  • Patients received either ESPB or RIB with ultrasound guidance using bupivacaine
  • Outcome measures included morphine consumption, NRS scores, and complication rates
  • No significant difference in morphine consumption between ESPB and RIB groups (p > 0.05)
  • Comparable NRS scores at multiple time points (p > 0.05)
  • No significant differences in hemodynamic parameters or intraoperative opioid use
  • Low incidence of postoperative nausea and vomiting
  • No block-related complications observed

Cite This Study

Avcı et al. (2026) studied this question.

synapsesocial.com/papers/69ada804bc08abd80d5bb375https://doi.org/10.1186/s12871-026-03655-9
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Also Consider

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

  1. 1Comparison of Ultrasound-guided Erector Spinae Plane Block Versus Rhomboid Intercostal Block for Perioperative Analgesia in Breast Cancer Surgery2026
  2. 2Comparison of analgesic efficacy of erector spinae plane block with rhomboid intercostal subserratus plane block in patients undergoing modified radical mastectomy: A randomised control trial2026
  3. 3Evaluating the effectiveness of bilateral erector spinae plane blocks in addition to standard multimodal analgesia at reducing opioid consumption in patients undergoing elective mammoplasty in an ambulatory surgical center: a randomized clinical trial2026
  4. 4Ultrasound-guided erector spinae plane block versus rhomboid intercostal sub-serratus plane block for postoperative analgesia in open radical nephrectomy: a randomized clinical study2025
  5. 5Impact of rhomboid intercostal plane block on chronic pain incidence and acute pain scores after oncologic breast surgery: a randomized controlled trial2026