Background: Approximately 60% of women after breast cancer surgery complain of severe acute pain. In addition, failure to manage acute post-operative pain may lead to the development of chronic pain which may be persistent for years. Efficacious techniques such as Modified PECS with Serratus Anterior plane Block and Erector Spinae Plane Block proved to reduce post-operative pain and prevent unnecessary patient discomfort. It may play role in decreasing morbidity, post-operative hospital stay and thus cost. This study aimed to: compare the analgesic effectiveness of modified pectoral nerve block with serratus anterior plane block versus Erector spinae plane block in post-operative breast Surgeries pain management. Methods: This randomized controlled trial was conducted at Benha University on 60 female patients scheduled for breast surgeries. All patients were randomly assigned into three groups; control group (I) (perioperative conventional pain management), PECS group (II)(modified pectoral nerve block with serratus anterior plane block), and ESPB group(III) ( erector spinae plane block). |