Related Experiment Video
Updated: Dec 5, 2025
Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
Published on: August 19, 2025
Serratus anterior plane block in modified radical mastectomy surgery: a case series
Madonna Damayanthie Datu1, Jokevin Prasetyadhi2
1Department of Anesthesiology, Intensive Care, and Pain Management, Faculty of Medicine, Hasanuddin University/ RSUP Dr. Wahidin Sudirohusodo, Jl. Perintis Kemerdekaan KM. 11, Makassar, Tamalanrea, 90245, Indonesia. madonnadatu@gmail.com.
Background:
Postoperative breast pain may lead to poorer outcome if left untreated. Common analgesia modalities for postoperative breast pain include opioids and regional anesthesia. However, both of these modalities can cause significant side effects or complications. Serratus anterior plane (SAP) block is a new procedure that is relatively easier to perform and safer, compared with other modalities. Previous studies have reported its usefulness in reducing the need for both intraoperative and postoperative opioids.
Case:
We reported 2 patients that underwent SAP block combined with general anesthesia in modified radical mastectomy (MRM). Patient 2 was given rescue analgesia during the intraoperative period. The administration of postoperative opioids did not exceed 24 h in both patients. Pain assessment using numeric rating scale (NRS) showed minimal postoperative pain. No side effects were found during 24-h monitoring period.
Conclusion:
SAP block can be used as one of the modalities in managing the pain of MRM surgery.
More Related Videos
13:35Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
06:13Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018