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Research Article

JCDR. 2021; 12(6): 1326-1330

To compare the effectiveness of erector spinae plane block with serratus anterior plane block for breast surgery -A comparative study.

Dr.Ankit Shrivastava, Dr. Vinayak Gour, Dr. Chandrakant, Dr.Sevras Hingwe.


Background: Breast surgeries are bound to be associated with marked
postoperative pain. Properinhibition of this pain suppresses the surgical stress response and
decreases the need for general anaesthesia. This study compared the erector spinae plane
(ESP) block and the serratus anterior plane (SAP) block, stating which is better for
postoperative pain control. Fifty patients were allocated based on random sampling and
divided into two group, ESP block group and SAP block group. ESP block group (ESP
group, n = 25) received 25 mL of 0.25% bupivacaine that was injected in-between erector
spinae muscle and transverse process. SAP block group (SAP group, n = 25) received 25 mL
of 0.25% bupivacaine, injected between the serratus anterior and the latissimusdorsi. Results:
Postoperative tramadol and diclofenac sodium consumption in SAP group was significantly
lower than ESP group. The pain scores and number of patients requested analgesic
postoperatively showed significantly higher values in ESP group. We concluded thatSAP
block provides better quality of analgesia than ESP block in patients subjected to breast

Key words: breast surgeries, erector spinae plane block, serratus anterior plane block, bupivacaine.

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