What this Trial Is About

Researchers are evaluating two methods of local pain control for women undergoing Modified Radical Mastectomy, a common surgery to treat breast cancer. The study compares the Thoracic Interfascial Plane Block (TIPB) and the Erector Spinae Plane Block (ESPB), aiming to find which provides better pain relief, fewer side effects, and improved patient satisfaction after surgery. Managing pain effectively is important to reduce the use of opioids, which can cause unwanted side effects like nausea and drowsiness, and to help patients recover faster. Participants will be randomly assigned to receive either the TIPB or ESPB nerve block before surgery. Both procedures involve injecting a local anesthetic under ultrasound guidance to numb specific nerves in the chest and upper abdominal area. TIPB includes blocks targeting the pectoral and serratus muscles, while ESPB targets the area near the spine. These blocks are designed to control pain after breast surgery. During the study, pain will be measured using a scale from 1 to 10 at rest and during movement. Researchers will track the total amount of additional pain medication needed in the first 48 hours after surgery, time to first pain relief, side effects, sleep quality, time to first walking, and overall satisfaction with pain control. Participants will be closely monitored for safety and any complications related to the nerve blocks. The study is conducted at Ain Shams University hospitals and aims to improve pain management for future breast cancer surgery patients.

Ultrasound-guided Thoracic Interfascial Plane Nerve Block Versus Erector Spinae Plane Block for Pain Control After Modified Radical Mastectomy