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Research ArticleClinical Studies

Erector Spinae Plane Block Versus Serratus Plane Block in Breast Conserving Surgery: Α Randomized Controlled Trial

GIANLUCA VANNI, GIORDANA CAIAZZA, MARCO MATERAZZO, GENEROSO STORTI, MARCO PELLICCIARO, CHIARA BUONOMO, SILVIA NATOLI, ELEONORA FABBI and MARIO DAURI
Anticancer Research November 2021, 41 (11) 5667-5676; DOI: https://doi.org/10.21873/anticanres.15383
GIANLUCA VANNI
1Breast Unit, Department of Surgical Science, PTV: Policlinico Tor Vergata University, Rome, Italy;
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GIORDANA CAIAZZA
2Department of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anesthetic Science, Policlinico Tor Vergata University, Rome, Italy
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MARCO MATERAZZO
1Breast Unit, Department of Surgical Science, PTV: Policlinico Tor Vergata University, Rome, Italy;
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  • For correspondence: mrcmaterazzo@gmail.com
GENEROSO STORTI
2Department of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anesthetic Science, Policlinico Tor Vergata University, Rome, Italy
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MARCO PELLICCIARO
1Breast Unit, Department of Surgical Science, PTV: Policlinico Tor Vergata University, Rome, Italy;
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CHIARA BUONOMO
2Department of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anesthetic Science, Policlinico Tor Vergata University, Rome, Italy
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SILVIA NATOLI
2Department of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anesthetic Science, Policlinico Tor Vergata University, Rome, Italy
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ELEONORA FABBI
2Department of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anesthetic Science, Policlinico Tor Vergata University, Rome, Italy
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MARIO DAURI
2Department of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anesthetic Science, Policlinico Tor Vergata University, Rome, Italy
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Abstract

Background/Aim: Erector spinae plane block (ESP Block) was introduced in 2016 as a surgical post-operative analgesia procedure. The present prospective, randomized trial aimed to compare ESP Block with serratus plane block (SPB) plus pectoral nerve blocks (PECS I) during breast conserving surgery (BCS). Patients and Methods: Between February 2019 and March 2021, 104 patients undergoing BCS were randomized to receive either ESP block (ESP group n=54) or SPB+PECS I (SPB group=49). Assessment of postoperative pain was recorded by the dynamic and static visual analog scale (VAS) and was compared between groups. Results: Between-group two-way ANOVA did not reach a statistically significant difference in static and dynamic VAS (p=0.879; p=0.917, respectively). Despite ESP group requiring for higher value of patient-controlled analgesia (PCA) bolus, no statistically significant difference was found in PCA activation pattern between groups (p=0.109). ESP block was a faster technique when compared to SPB+PECS I (p=0.007) and no complications or opioid side-effects were recorded in all groups examined. Conclusion: ESP Block could represent a safe, faster alternative with a single injection to SPB+PECS I in BCS.

Key Words:
  • Anesthesia
  • conduction
  • breast neoplasms
  • mastectomy
  • segmental
  • ultrasonography
  • pain
  • postoperative outcome
  • Received September 11, 2021.
  • Revision received September 24, 2021.
  • Accepted October 5, 2021.
  • Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 41 (11)
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November 2021
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Erector Spinae Plane Block Versus Serratus Plane Block in Breast Conserving Surgery: Α Randomized Controlled Trial
GIANLUCA VANNI, GIORDANA CAIAZZA, MARCO MATERAZZO, GENEROSO STORTI, MARCO PELLICCIARO, CHIARA BUONOMO, SILVIA NATOLI, ELEONORA FABBI, MARIO DAURI
Anticancer Research Nov 2021, 41 (11) 5667-5676; DOI: 10.21873/anticanres.15383

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Erector Spinae Plane Block Versus Serratus Plane Block in Breast Conserving Surgery: Α Randomized Controlled Trial
GIANLUCA VANNI, GIORDANA CAIAZZA, MARCO MATERAZZO, GENEROSO STORTI, MARCO PELLICCIARO, CHIARA BUONOMO, SILVIA NATOLI, ELEONORA FABBI, MARIO DAURI
Anticancer Research Nov 2021, 41 (11) 5667-5676; DOI: 10.21873/anticanres.15383
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Keywords

  • Anesthesia
  • conduction
  • breast neoplasms
  • mastectomy
  • segmental
  • ultrasonography
  • pain
  • postoperative outcome
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