Comparative Study between the Effect of Ultrasound Guided Erector Spinae Plane Block (ESPB) versus Serratus Anterior Plane Block (SAPB) for Postoperative Analgesia in Modified Radical Mastectomy Patients

Abstract Background Breast cancer is the most common cancer in women both in the developed and less developed world. In 2012, it represented about 12 percent of all new cancer cases and 25 percent of all cancers in women. Aim of the Work The aim of this work is to evaluate the effectiveness of ultrasound guided erector spinae plane block (ESPB) versus Serratus Anterior plane block (SAPB) as a postoperative Analgesia in Modified Radical Mastectomy. Patients and Methods After obtaining approval from the medical ethical committee in Ain Shams University, this study was conducted in the operating theatres of Ain Shams University Hospitals. It included 64 female patients undergoing modified radical mastectomy were divided randomly into two groups, each group consisted of 32 patients group I in which patients received ESPB and group II in which patients received SAPB. Results The two groups were adequately monitored and assessed post-operatively and they were compared regarding analgesic outcome by using the numeric rating score system, besides, recording time for first for analgesic need and total consumption of opioid and analgesic in the 1st 24 postoperative hours. Demographic data and post operative hemodynamics were also assessed. Conclusion Both Erector spinae plane block and serratus anterior plane block provide good analgesic control after modified radical mastectomy but the ESPB is more superior compared to SAPB in postoperative hemodynamics and pain score.