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ORIGINAL ARTICLE
Year : 2020  |  Volume : 4  |  Issue : 1  |  Page : 71-77

Pectoral nerve block for postoperative analgesia in breast cancer surgery


1 Department of Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt
2 Department of Anesthesiology and Intensive Care, Al Zahraa University Hospital, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt

Correspondence Address:
MD Mohamed O Alfy
Shoubra, Cairo
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjamf.sjamf_7_20

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Background Breast cancer is the most common malignancy in women and its incidence continues to increase. Surgery is one of the mainstays of treatment of breast cancer, and modified radical mastectomy is one of the standard treatments, Pectoral nerve (PECS I and PECS II) block was reported to be good analgesia for breast surgery. Aim To compare PECS blocks in combination with general anesthesia versus general anesthesia alone in modified radical mastectomy surgery. Patients and methods Patients were classified randomly into two groups in a blinded manner, and each one contained 30 patients. Control group received general anesthesia only. PECS group received general anesthesia plus PECS guided by ultrasound (PECS I and PECS II). Results There was a statistically significant decrease in fentanyl requirement in the PECS group compared with the control group. There was a high statistically significant decrease in visual analog scale in the PECS group compared with the control group. There was a statistically significant increase the first time of rescue dose of opioid in PECS group compared with control group. Conclusion PECS blocks can produce excellent pain relief during postoperative hours. They hold great promise as under ultrasonic guidance they have become simple and easy-to-learn techniques.


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