Comparison of Serratus Posterior Superior Intercostal Plane Block and Erector Spinae Plane Block for Postoperative Analgesia in Unilateral Breast Surgery: A Prospective, Randomized, Assessor-Blinded Trial
This prospective, randomized, assessor-blinded trial compares serratus posterior superior intercostal plane block (SPSIPB) and erector spinae plane block (ESPB) for postoperative analgesia in unilateral breast surgery. 54 patients will be randomized to receive either SPSIPB or ESPB before general anesthesia. The primary outcome is postoperative pain scores within the first 24 hours. The secondary outcome is opioid consumption.
• Female patients aged 18-65 years
• ASA physical status I-III
• Body mass index (BMI) between 18 and 35 kg/m²
• Scheduled for elective unilateral breast surgery (mastectomy with or without sentinel lymph node biopsy)
• Ability to understand and provide written informed consent