SPS Block vs. Surgical Intercostal Block for Chronic Pain After Thoracoscopic Surgery
Evaluation of Serratus Posterior Superior (SPS) Block Versus Surgical Intercostal Blockade in Preventing Chronic Post-Thoracotomy Pain After Video-Assisted Thoracoscopic Surgery (VATS): A Randomized, Prospective, Comparative Study.
Medipol University
40 participants
Mar 1, 2026
INTERVENTIONAL
Conditions
Summary
This study aims to evaluate the efficacy of ultrasound-guided Serratus Posterior Superior (SPS) block compared to surgeon-administered intercostal blockade in preventing chronic pain at 3, 6, and 12 months following Video-Assisted Thoracoscopic Surgery (VATS).
Eligibility
Inclusion Criteria2
- ASA physical status I-III.
- Scheduled for elective unilateral Video-Assisted Thoracoscopic Surgery (VATS).
Exclusion Criteria5
- History of allergy to local anesthetics.
- Pre-existing chronic pain syndrome or neuropathic pain.
- Psychiatric disorders affecting pain assessment.
- Coagulation disorders.
- Previous thoracic surgery on the same side.
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Interventions
30 mL of 0.25% Bupivacaine will be injected into the plane between the Serratus Posterior Superior muscle and the intercostal muscles at the scapular level.
At the end of the operation, the surgeon will perform an injection of a total of 30 mL of 0.25% Bupivacaine into three intercostal nerves above and below the incision site under direct thoracoscopic visualization.
Locations(1)
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NCT07436806