Postoperative Analgesia after Modified Radical Mastectomy with Focus on the Serratus Anterior Plane Block: Review Article | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 207, Volume 92, Issue 1, July 2023, Pages 6854-6857 PDF (319.2 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.318802 | ||
| Abstract | ||
| Background: One of the most frequent procedures that may cause significant early postoperative discomfort in breast surgery is the modified radical mastectomy (MRM). Local anaesthetics techniques (Long-Acting Local Analgesia in Breast Surgery providing pain sensitization immediately after surgery and at 48 h but not at 12, and 24 h) and regional analgesic techniques [Pectoral (Pecs), Serratus Anterior Block (SAPB), and Erector Spinae Plane (ESP) Block] were used for the management of post-operative pain (MPP). The ultrasound guided SAPB is a preferable option to opiate analgesia, especially for senior patients, in the therapy of lateral chest wall discomfort, particularly in the context of severe rib fractures. Objective: This review article aimed to throw highlights on post-operative analgesic modalities after modified radical mastectomy especially the serratus anterior plane block. Methods:The following keywords were used to search PubMed, Google Scholar, and Google: MRM, SAPB, ESP, and pain management. The authors additionally screened references from the relevant literature, which included all of the identified research and reviews, but only the most current or full study was included. Conclusion: The SAPB can be utilised to give post-operative analgesia in cases undergoing modified radical mastectomy with a decreased incidence of adverse effects when compared to other analgesic modalities. | ||
| Keywords | ||
| MRM; SAPB; ESP; Management of pain | ||
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