Rhomboid Intercostal Block With Sub-Serratus Plane Block Versus Erector Spinae Block

Summary

This study compares two nerve block techniques-Rhomboid Intercostal with Sub-Serratus Plane Block versus Erector Spinae Plane Block-for pain relief after breast cancer surgery. It aims to determine which method provides better postoperative pain control, reduces opioid use, and improves recovery in patients undergoing modified radical mastectomy at the National Cancer Institute, Cairo University.

Eligibility

Inclusion Criteria:

* Female breast cancer patients undergoing Modified Radical Mastectomy (MRM)

ASA physical status II or III

Age between 18 and 65 years

Body Mass Index (BMI) \> 20 kg/m² and \< 35 kg/m²

Exclusion Criteria:

* Patient refusal

ASA physical status IV

Age \<18 years or \>65 years

BMI \< 20 kg/m² or \> 35 kg/m²

Known allergy or contraindication to local anesthetics or opioids

History of psychological disorders or chronic pain

Contraindications to regional anesthesia (e.g., coagulopathy, local infection, peripheral neuropathy)

Severe respiratory, cardiac, hepatic, or renal disease

Conditions3

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