Pectoral Nerve Block Versus Paravertebral Block In The Incidence of Chronic Pain After Mastectomy:
Pectoral Nerve Block Versus Paravertebral Block In The Incidence of Chronic Pain After Mastectomy: A Randomized Clinical Trial
Assiut University
90 participants
Nov 15, 2023
INTERVENTIONAL
Conditions
Summary
Chronic pain after Mastectomy is frequent and an important healthcare priority because of its effect on quality of life. Although the association between the severity of acute pain after surgery and the likelihood of chronic pain is known, their causal relationship has not been clarified. Mastectomy, frequently done for the management of breast cancer, is associated with significant acute postoperative pain and limited shoulder movement.
Eligibility
Inclusion Criteria2
- ASA grade I, II, or III female patients in the age group of 20-65 years
- with body mass index (BMI) of 25-35 who were undergoing mastectomy with or without axillary lymph node or sentinel lymph node dissection or partial mastectomy (sparing the skin, areola, and nipple) with axillary lymph node dissection
Exclusion Criteria4
- male sex; patient refusal,
- a life expectancy less than 2 yr;
- active malignant disease; pregnant or breastfeeding women;
- bilateral surgery; ipsilateral breast surgery in the past 3 yr;
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Interventions
Bupivacaine 0.25% 20 ml was injected between the costotransverse ligament and the parietal pleura.
entering the plane between the pectoralis minor muscle and serratus anterior muscle, and bupivacaine 0.25% 20 ml was deposited in this space
Locations(1)
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NCT06082206