Clinical trial · Interventional
Comparison of ESP and SPSIP Blocks in Breast Surgery
A Comparative Analysis of Erector Spinae Plane (ESP) Block and Serratus Posterior Superior Intercostal Plane (SPSIP) Block in Breast Surgery
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This study aims to compare the efficacy of the ESP and SPSIP blocks in managing postoperative pain following breast surgery. Breast surgery, particularly after oncological and reconstructive procedures, often leads to significant postoperative pain. Effective pain control is crucial for accelerating recovery, reducing the risk of complications, and facilitating early discharge. Both ESP and SPSIP blocks involve the administration of local anesthetics into fascial plane spaces to achieve peripheral nerve blockade and control pain. This study will evaluate the effectiveness of these blocks in terms of pain scores, opioid consumption, and overall patient satisfaction to determine the optimal approach for postoperative pain management in breast surgery.
Conditions
Conditions (6)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Breast Implant | — | UNRESOLVED | — |
| Breast Surgery | — | UNRESOLVED | — |
| Macromastia | — | UNRESOLVED | — |
| Mammaplasty | — | UNRESOLVED | — |
| Mammary Cancer | — | UNRESOLVED | — |
| Modified Radical Mastectomy | — | UNRESOLVED | — |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Control | Other | — | UNRESOLVED |
| Erector Spinae Plane Block | Other | — | UNRESOLVED |
| SPSIPB blcok | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (3)
- type
- ACTIVE_COMPARATOR
- label
- Erector Spinae Plane (ESP) block group
- description
- This group will include patients who undergo the Erector Spinae Plane (ESP) block. The ESP block will be performed under ultrasound guidance, with a needle placed on the transverse process of the vertebra to inject local anesthetic into the erector spinae muscle.
- interventionNames
- Other: Erector Spinae Plane Block
- type
- ACTIVE_COMPARATOR
- label
- Serratus Posterior Superior Intercostal Plane (SPSIP) block
- description
- This group will include patients who undergo the Serratus Posterior Superior Intercostal Plane (SPSIP) block. The SPSIP block will be performed under ultrasound guidance, injecting local anesthetic into the plane between the serratus posterior superior muscle and the intercostal muscles.
- interventionNames
- Other: SPSIPB blcok
- type
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 18 Years
- Maximum age
- 65 Years
Show eligibility criteria text
Inclusion Criteria * Age between 18 and 65 years. * Scheduled for breast surgery (Modified Radical Mastectomy with or without axillary lymph node dissection, Mastopexy, Reduction Mammoplasty). * Preoperative anesthesia risk classified as ASA I-III according to the American -Society of Anesthesiologists (ASA) classification. * Patients who provide informed consent for participation in the study. Exclusion Criteria * History of coagulation disorders. * Patients using aspirin or medically prescribed anticoagulants. * Patients with severe systemic diseases (ASA IV). * Patients undergoing emergency surgery. * Patients younger than 18 or older than 65 years. * Patients who do not develop adequate sensory block after the procedure. * Presence of infection at the block site. * Patients with thoracic deformities. * Patients who decline to participate in the study.
References
Publications (0)
Data not yet available