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SPSIP Block vs Rhomboid Block for Postoperative Analgesia in Breast Cancer Surgery: Randomized Controlled Trial

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Summary

This ClinicalTrials.gov registry entry announces a randomized controlled trial (NCT07536867) comparing the analgesic efficacy of Serratus Posterior Superior Intercostal Plane (SPSIP) Block versus Rhomboid Intercostal Block for postoperative pain management following breast cancer surgery with axillary lymph node dissection. The primary outcome is Visual Analog Scale pain scores during the first 24 hours post-surgery. Secondary outcomes include opioid consumption, rescue analgesia requirements, block performance time, and patient satisfaction. The study is currently recruiting.

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What changed

This ClinicalTrials.gov registry entry documents a new randomized controlled trial comparing two regional anesthesia techniques for breast cancer surgery patients. The trial will enroll participants undergoing mastectomy with axillary lymph node dissection and randomize them to receive either SPSIP Block or Rhomboid Intercostal Block. The study's primary endpoint is pain control efficacy measured by Visual Analog Scale at 24 hours.

For healthcare providers and clinical investigators, this registry entry indicates ongoing research into opioid-sparing analgesic techniques for breast cancer surgery. The study's secondary outcomes examining block-related complications (hematoma, pneumothorax, local anesthetic toxicity, vascular puncture, infection) and quality of recovery metrics may inform future clinical practice guidelines. This is an informational registry entry without compliance or regulatory obligations.

Archived snapshot

Apr 17, 2026

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Comparison of Serratus Posterior Superior Intercostal Plane Block and Rhomboid Intercostal Block for Postoperative Analgesia Following Breast Cancer Surgery With Axillary Lymph Node Dissection: A Randomized Controlled Trial

N/A NCT07536867 Kind: NA Apr 17, 2026

Abstract

This randomized clinical trial aims to evaluate and compare the analgesic efficacy of the Serratus Posterior Superior Intercostal Plane (SPSIP) and Rhomboid Intercostal Block in patients undergoing Breast Cancer Surgery With Axillary Lymph Node Dissection. The primary outcome is Visual Analog Scale (VAS) during the first 24 hours after surgery. Secondary outcomes include total opioid consumption, requirement for rescue analgesia, block performance time, block-related and systemic side effects (hematoma, pneumothorax, local anesthetic toxicity, vascular puncture, infection), Patient satisfaction assessed using a Likert scale, quality of recovery assessed using the QoR-15 questionnaire.

Conditions: Breast Cancer, Lymph Node Dissection, Postoperative Pain, Mastectomy

Interventions: Serratus posterior superior intercostal plane block, Rhomboid intercostal plane block

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Last updated

Classification

Agency
NIH/NLM
Instrument
Notice
Legal weight
Non-binding
Stage
Final
Change scope
Minor
Document ID
NCT07536867
Docket
NCT07536867

Who this affects

Applies to
Healthcare providers Clinical investigators
Industry sector
6211 Healthcare Providers
Activity scope
Clinical trial research Postoperative pain management Regional anesthesia
Geographic scope
United States US

Taxonomy

Primary area
Healthcare
Operational domain
Clinical Operations
Topics
Pharmaceuticals Medical Devices

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