International Journal of Medical and All Body Health Research  |  e-ISSN: 2582-8940  |  Double-Blind Peer Review  |  Open Access  |  CC BY-NC-SA 4.0

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International Journal of Medical and All Body Health Research

e-ISSN: 2582-8940 | Open Access

Comparative Study for Efficacy of Ultrasound Guided Pectoral Nerve Block versus Erector Spinae Plane Block for Post Operative Analgesia in Modified Radical Mastectomy

Dr. Vadla Vinay Kumar, Dr. Shailja Sharma, Dr. Keshav Dev Jagar, Dr. Abhishek Bhardwaj, Dr. Ankur Sehgal, Dr. Jayshree Kumari

Department of Anaesthesia and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India; Professor and HOD Anaesthesia, Department of Anaesthesia and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India; Associate Professor, HOD, Department of Anaesthesia and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India; Assistant Professor, Department of Anaesthesia and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India; Post Graduate Resident, Department of Anaesthesia and Critical Care, Saraswathi Institute of Medical Sciences, Pilkhuwa, Hapur, Uttar Pradesh, India

Article Information

Volume / Issue6 / 3 (July-September 2025)
Pages193-199
AccessOpen Access

Publication Timeline

  • Received16 June 2025
  • Accepted19 July 2025
  • Published

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Abstract

Modified Radical Mastectomy (MRM) is associated with significant postoperative pain. Regional anesthesia techniques like Pectoral Nerve Block (PECS) and Erector Spinae Plane Block (ESPB) have emerged as effective analgesic modalities. This study compares the efficacy of ultrasound-guided PECS block versus ESPB for postoperative analgesia in MRM patients. This prospective, randomized, double-blind study included 120 patients undergoing MRM, divided into two groups (n=60 each). Group P received PECS II block with 30ml of 0.25% bupivacaine, while Group E received ESPB at T4 level with the same dose. Primary outcome was 24-hour postoperative morphine consumption. Secondary outcomes included Visual Analog Scale (VAS) scores, time to first rescue analgesia, patient satisfaction, and complications. Mean 24-hour morphine consumption was significantly lower in Group P (8.4±2.3mg) compared to Group E (12.6±3.1mg) (p<0.001). VAS scores were lower in Group P at 2, 4, and 6 hours postoperatively (p<0.05). Time to first rescue analgesia was longer in Group P (386±45 minutes) versus Group E (248±38 minutes) (p<0.001). Patient satisfaction scores were higher in Group P (8.9±0.8) compared to Group E (7.6±1.2) (p<0.001). No significant complications were observed in either group. Ultrasound-guided PECS II block provides superior postoperative analgesia compared to ESPB in patients undergoing MRM, with reduced opioid consumption, better pain scores, and higher patient satisfaction.

Keywords

Pectoral Nerve BlockErector Spinae Plane BlockModified Radical MastectomyPostoperative AnalgesiaRegional AnesthesiaUltrasound-Guided

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How to Cite

Kumar, V. V., Sharma, S., Jagar, K. D., Bhardwaj, A., Sehgal, A., & Kumari, J. (2025). Comparative Study for Efficacy of Ultrasound Guided Pectoral Nerve Block versus Erector Spinae Plane Block for Post Operative Analgesia in Modified Radical Mastectomy. International Journal of Medical and All Body Health Research, 6(3), 193-199. https://doi.org/10.54660/IJMBHR.2025.6.3.193-199

Kumar, Vadla Vinay, et al. "Comparative Study for Efficacy of Ultrasound Guided Pectoral Nerve Block versus Erector Spinae Plane Block for Post Operative Analgesia in Modified Radical Mastectomy." International Journal of Medical and All Body Health Research, vol. 6, no. 3, 2025, pp. 193-199. https://doi.org/10.54660/IJMBHR.2025.6.3.193-199.

Kumar, V. V., Sharma, S., Jagar, K. D., Bhardwaj, A., Sehgal, A. and Kumari, J. (2025) 'Comparative Study for Efficacy of Ultrasound Guided Pectoral Nerve Block versus Erector Spinae Plane Block for Post Operative Analgesia in Modified Radical Mastectomy', International Journal of Medical and All Body Health Research, 6(3), pp. 193-199. doi: 10.54660/IJMBHR.2025.6.3.193-199.

Kumar VV, Sharma S, Jagar KD, Bhardwaj A, Sehgal A, Kumari J. Comparative Study for Efficacy of Ultrasound Guided Pectoral Nerve Block versus Erector Spinae Plane Block for Post Operative Analgesia in Modified Radical Mastectomy. International Journal of Medical and All Body Health Research. 2025;6(3):193-199. doi:10.54660/IJMBHR.2025.6.3.193-199

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