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COMPARISON OF POSTOPERATIVE PAIN WITH AND WITHOUT PECTORAL BLOCK IN PATIENTS UNDERGOING MODIFIED RADICAL MASTECTOMY.

Zenab Noorain¹, Shahzad Hussain Waqar¹, Saad Ali Shah¹

¹Department of General Surgery, PIMS, SZABMU, Islamabad-Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC

|November 25, 2024

Summary

The Pectoralis (PECS) block significantly reduced post-operative pain in patients undergoing modified radical mastectomy. This technique offers better pain management compared to standard care, improving patient recovery.

Keywords:

Post-operative Pain; Pectoral Block; Modified Radical Mastectomy

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Area of Science:

Anesthesiology
Surgical Pain Management
Regional Anesthesia Techniques

Background:

Modified radical mastectomy often results in severe acute postoperative pain.
Inadequate pain control can lead to chronic post-mastectomy pain, diminishing quality of life.
Pectoralis (PECS) block is recognized for its efficacy in reducing postoperative pain and analgesic requirements.

Purpose of the Study:

To compare the mean postoperative pain levels in female patients undergoing modified radical mastectomy under general anesthesia.
To evaluate the effectiveness of the Pectoralis (PECS) block in managing acute postoperative pain following this procedure.

Main Methods:

A randomized controlled trial involving 60 female patients undergoing modified radical mastectomy.
Patients were divided into two groups: one receiving Pectoralis (PECS) block (PEC group) and a control group (without PEC group).
Postoperative pain was assessed at 6 and 12 hours after surgery using a standardized scale.

Main Results:

The PEC group reported significantly lower mean postoperative pain scores at both 6 hours (2.13 vs. 2.67, p=0.021) and 12 hours (1.20 vs. 1.63, p=0.002) compared to the without PEC group.
The study included patients with a mean age of 51.52±10.29 years and a mean BMI of 24.1±3.94 kg/m2.
Statistical analysis was performed using SPSS version 22.

Conclusions:

The Pectoralis (PECS) block provides superior postoperative pain control in female patients undergoing modified radical mastectomy under general anesthesia.
Implementing PECS block can be a valuable strategy for enhancing pain management and improving patient outcomes after mastectomy.
Further research may explore long-term pain reduction and quality of life improvements associated with PECS block.