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Related Experiment Video

Updated: Apr 1, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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[Serratus-Intercostal Plane Block for Brest Surgery].

Yuichi Ohgoshi, Motoi Yokozuka, Katsuyuki Terajima

    Masui. the Japanese Journal of Anesthesiology
    |October 7, 2015
    PubMed
    Summary

    Serratus-intercostal plane block (SIPB) provides effective pain relief for partial mastectomy patients for 12-24 hours. This ultrasound-guided technique is recommended, but may require additional analgesia for axillary dissection due to limited T1 dermatome coverage.

    Area of Science:

    • Regional anesthesia
    • Ultrasound-guided nerve blocks
    • Thoracic wall analgesia

    Background:

    • Serratus-intercostal plane block (SIPB) is a novel ultrasound-guided thoracic nerve block.
    • SIPB was evaluated for perioperative analgesia in patients undergoing partial mastectomy.

    Observation:

    • The study included patients with breast cancer in the upper to lower lateral quadrant or subareolar region.
    • Ultrasound-guided SIPB was performed under general anesthesia.
    • 30 ml of ropivacaine 0.375-0.5% was injected between the serratus anterior and external intercostal muscles.

    Findings:

    • SIPB resulted in sensory loss across 5-6 intercostal spaces, providing analgesia for 12-24 hours.
    • The cephalad dermatomal paresthesia reached the T2 level.

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  • No patients experienced sensory loss at the T1 dermatome.
  • Implications:

    • SIPB offers effective analgesia for specific breast surgery locations.
    • Additional analgesic strategies are necessary for axillary dissection due to limited T1 coverage.
    • SIPB is a valuable tool for multimodal pain management in breast cancer surgery.