Comparison of postoperative analgesic efficacy between erector spinae plane block and rhomboid intercostal block in breast-conserving surgery and sentinel lymph node biopsy: a randomized non-inferiority clinical trial

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dc.contributor.authorÇiftçi, Bahadır
dc.contributor.authorBasım, Pelin
dc.contributor.authorGüngör, Hande
dc.contributor.authorAlver, Selçuk
dc.contributor.authorGölboyu, Birzat Emre
dc.contributor.authorAtalay, Yunus Oktay
dc.date.accessioned2026-01-30T13:06:27Z
dc.date.available2026-01-30T13:06:27Z
dc.date.issued2025
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractObjectives: Breast-conserving surgery is a common breast operation type in the world. Patients may feel severe postoperative pain after the surgery. Several regional anesthesia methods are used for postoperative pain control as a part of multimodal analgesia management after breast surgery. Erector spinae plane block (ESPB) and rhomboid intercostal plane block (RIB) are commonly used techniques for this purpose. The studies that compare these methods are limited. Therefore, we aimed to compare the efficacy of ESPB and RIB. Methods: This prospective, randomized study included sixty female patients with ASA class I-II physical status in the study. All patients underwent general anesthesia. We performed the blocks at the end of the surgery before extubation. Participants were randomized into two groups between the operation: the Group ESPB (n=30) and the Group RIB (n=30). We performed 30 ml volume of 0.25% bupivacaine for the blocks. 400 mg ibuprofen 3x1 was ordered postoperatively, and a fentanyl PCA device (2 ml bolus, 0 ml infusion, 20 min lock time, 4 hour limit) was attached intravenously to the participants. If the pain score was ≥4, meperidine (0.5 mg/kg) was performed. Results: There were no differences in terms of demographical data. The postoperative opioid use, pain scores, adverse events, and the need for rescue analgesia were similar between groups. Conclusion: Both RIB and ESPB are effective regional anesthesia techniques following breast surgery. They are simple and safe methods. Anesthesiologists may prefer one or the other based on their clinical experience.
dc.identifier.citationÇiftçi, B., Basım, P., Güngör, H., Alver, S., Gölboyu, B. E. ve Atalay, Y. O. (2025). Comparison of postoperative analgesic efficacy between erector spinae plane block and rhomboid intercostal block in breast-conserving surgery and sentinel lymph node biopsy: a randomized non-inferiority clinical trial. Agri-The Journal Of The Turkish Society Of Algology, 37(1), 42-49. http://dx.doi.org/10.14744/agri.2024.00087
dc.identifier.doi10.14744/agri.2024.00087
dc.identifier.endpage49
dc.identifier.issn1300-0012
dc.identifier.issue1
dc.identifier.pmid39835949
dc.identifier.scopus2-s2.0-85216439273
dc.identifier.scopusqualityQ3
dc.identifier.startpage42
dc.identifier.urihttp://dx.doi.org/10.14744/agri.2024.00087
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13401
dc.identifier.volume37
dc.identifier.wosWOS:001518615500005
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÇiftçi, Bahadır
dc.institutionauthorBasım, Pelin
dc.institutionauthorGüngör, Hande
dc.institutionauthorAtalay, Yunus Oktay
dc.institutionauthorid0000-0002-3245-6614
dc.institutionauthorid0000-0002-9452-9276
dc.institutionauthorid0000-0002-8920-1516
dc.institutionauthorid0000-0001-9928-9956
dc.language.isoen
dc.relation.ispartofAgri-The Journal Of The Turkish Society Of Algology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectErector Spinae Plane Block
dc.subjectMastectomy
dc.subjectPostoperative Analgesia
dc.subjectRhomboid Intercostal Block
dc.titleComparison of postoperative analgesic efficacy between erector spinae plane block and rhomboid intercostal block in breast-conserving surgery and sentinel lymph node biopsy: a randomized non-inferiority clinical trial
dc.typeArticle

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