The Effect of Erector Spina Plan Block on Acute and Chronic Pain in Breast Cancer Surgery: A Retrospective Study

Ersin Sönmez; Işın Güneş; Mustafa Gök; Aliye Esmaoğlu Çoruh

Makale detayları

The Effect of Erector Spina Plan Block on Acute and Chronic Pain in Breast Cancer Surgery: A Retrospective Study

Yazarlar:

Ersin Sönmez | Işın Güneş | Mustafa Gök | Aliye Esmaoğlu Çoruh

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Anesteziyoloji

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 2, pp.148-154

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001350369

pISSN:

2146-4006

Anahtar kelimeler:

Özet:

 Objective: In this study, it was aimed to evaluate effects of erector spinae plane block on postoperative analgesic consumption, pain scores, patient satisfaction and chronic pain after breast cancer surgery. Material and methods: After ethic approval, we retrospectively reviewed patients who underwent elective breast cancer surgery between September 2018-December 2019. 40 patients were included to the study after exclusion criterias. Patients were divided into ESPB group n20 and control group n20. We recorded postoperative morphine consumption. The pain assessed by Visual Analog Scale VAS score. Chronic and neuropathic pain incidence were assessed at 3 and 6 months. Results: The morphine consumption within postoperative 24 hours was significantly higher in ESPB group than controls p0.05. VASstatic scores were lower in ESPB group than control except 24. hour p0.05. VASdynamic scores were comparable between groups except 12. and 18. hours p0.05. The additional analgesic consumption was significantly lower in ESPB group than controls p0.05. The patient satisfaction was higher in ESPB group when compared to controls p0.05. There was no significant difference incidence of nausea-vomiting p0.05. The persistent pain after breast cancer surgery PPBCS was found to be 23 and 8 on months 3 and 6, respectively, indicating no significant difference between groups p0.05. Neuropathic component was not considered in patients with pain LANSS12. Conclusion: Lower systemic opioid consumption and lower VAS scores with ESPB suggests that ESBP can be effectively used as part of postoperative multimodal analgesia However, similar incidence of PPBCS suggests that ESPB may be ineffective in long term.

 Objective: In this study, it was aimed to evaluate effects of erector spinae plane block on postoperative analgesic consumption, pain scores, patient satisfaction and chronic pain after breast cancer surgery. Material and methods: After ethic approval, we retrospectively reviewed patients who underwent elective breast cancer surgery between September 2018-December 2019. 40 patients were included to the study after exclusion criterias. Patients were divided into ESPB group n20 and control group n20. We recorded postoperative morphine consumption. The pain assessed by Visual Analog Scale VAS score. Chronic and neuropathic pain incidence were assessed at 3 and 6 months. Results: The morphine consumption within postoperative 24 hours was significantly higher in ESPB group than controls p0.05. VASstatic scores were lower in ESPB group than control except 24. hour p0.05. VASdynamic scores were comparable between groups except 12. and 18. hours p0.05. The additional analgesic consumption was significantly lower in ESPB group than controls p0.05. The patient satisfaction was higher in ESPB group when compared to controls p0.05. There was no significant difference incidence of nausea-vomiting p0.05. The persistent pain after breast cancer surgery PPBCS was found to be 23 and 8 on months 3 and 6, respectively, indicating no significant difference between groups p0.05. Neuropathic component was not considered in patients with pain LANSS12. Conclusion: Lower systemic opioid consumption and lower VAS scores with ESPB suggests that ESBP can be effectively used as part of postoperative multimodal analgesia However, similar incidence of PPBCS suggests that ESPB may be ineffective in long term.

 Objective: In this study, it was aimed to evaluate effects of erector spinae plane block on postoperative analgesic consumption, pain scores, patient satisfaction and chronic pain after breast cancer surgery. Material and methods: After ethic approval, we retrospectively reviewed patients who underwent elective breast cancer surgery between September 2018-December 2019. 40 patients were included to the study after exclusion criterias. Patients were divided into ESPB group n20 and control group n20. We recorded postoperative morphine consumption. The pain assessed by Visual Analog Scale VAS score. Chronic and neuropathic pain incidence were assessed at 3 and 6 months. Results: The morphine consumption within postoperative 24 hours was significantly higher in ESPB group than controls p0.05. VASstatic scores were lower in ESPB group than control except 24. hour p0.05. VASdynamic scores were comparable between groups except 12. and 18. hours p0.05. The additional analgesic consumption was significantly lower in ESPB group than controls p0.05. The patient satisfaction was higher in ESPB group when compared to controls p0.05. There was no significant difference incidence of nausea-vomiting p0.05. The persistent pain after breast cancer surgery PPBCS was found to be 23 and 8 on months 3 and 6, respectively, indicating no significant difference between groups p0.05. Neuropathic component was not considered in patients with pain LANSS12. Conclusion: Lower systemic opioid consumption and lower VAS scores with ESPB suggests that ESBP can be effectively used as part of postoperative multimodal analgesia However, similar incidence of PPBCS suggests that ESPB may be ineffective in long term.

 Amaç: Bu çalışmanın amacı meme kanseri cerrahisinde erektör spina plan bloğunun post-operatif analjezik tüketimi, ağrı skorları, hasta memnuniyeti ve cerrahi sonrası persistan ağrı üzerine olan etkisini araştırmaktır. Gereç ve Yöntemler: Etik kurul onayı alındıktan sonra Eylül 2018-Aralık 2019 tarihleri arasında elektif meme kanseri geçiren hastalar retrospektif olarak incelendi. Dışlanma kriterleri uygulandıktan sonra kalan 40 hasta çalışmaya alındı. Hastalar ESPB grubu n20 ve kontrol grubu n20 olarak ikiye ayrıldı. Hastaların postoperatif morfin tüketim miktarı kaydedildi. Vizüel Analog Skala VAS kullanılarak değerlendirilen ağrı skorları değerlendirildi. Taburculuk sonrası 3. ve 6. aydaki kronik ve nöropatik ağrı insidansı kaydedildi. Bulgular: Postoperatif ilk 24 saatteki morfin tüketimi tüm ölçüm zamanlarında ESPB grubunda kontrol grubundan daha düşüktü p0,05. VASstatik skorları 24. saat hariç tüm ölçüm zamanlarında ESPB grubunda kontrol grubundan daha düşüktü p0,05. VASdinamik skorları 12. ve 18. saat hariç gruplar arasında benzerdi p0,05. Ek analjezik tüketimi EPSB grubunda kontrol grubundan daha düşüktü p0,05. Hasta memnuniyeti ESPB grubunda istatistiksel olarak daha yüksekti p0,05. Bulantı-kusma insidansı arasında gruplar arasında farklılık yoktu p0,05. Meme kanseri cerrahisi sonrası persistan ağrı MKCPA, 3. ve 6. ayda sırasıyla 23 ve 8 bulundu ve iki grup arasında anlamı bir fark yoktu p0,05. Ağrısı olan tüm hastalarda nöropatik komponent ön planda düşünülmedi LANSS12 Sonuç: ESPB ile daha az sistemik opioid tüketimi ve VAS skorlarının gözlemlenmesi, postoperatif multimodal analjezinin bir parçası olarak ESBPnin etkin bir şekilde kullanılabileceğini göstermektedir. MKCPA insidansının benzer olması, uzun dönemde ESBPnin etkisiz olabileceğini düşündürmektedir.

Makale detayları

The Effect of Erector Spina Plan Block on Acute and Chronic Pain in Breast Cancer Surgery: A Retrospective Study

Yazarlar:

Ersin Sönmez | Işın Güneş | Mustafa Gök | Aliye Esmaoğlu Çoruh

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Anesteziyoloji

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 2, pp.148-154

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001350369

pISSN:

2146-4006

acute postoperative pain

nerve block

breast surgery

opioid analgesics

chronic postoperative painakut postoperatif ağrı

sinir bloğu

meme cerrahisi

opioid analjezikler

kronik postoperatif ağrı

Sayı

Makale detayları

Yazarlar: Ersin Sönmez | Işın Güneş | Mustafa Gök | Aliye Esmaoğlu Çoruh

Yayıncı: Yozgat Bozok University

Ana Başlıklar: Anesteziyoloji

Dergi: Bozok Tıp Dergisi Vol.15 Issue 2, pp.148-154

Belge Tipi: Makale

Yayın Tarihi: 6/2025

Belge Dili: Türkçe

Document ID (Org No.): 2001350369

pISSN: 2146-4006

Sayı

Yazarlar:

Ersin Sönmez | Işın Güneş | Mustafa Gök | Aliye Esmaoğlu Çoruh

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Anesteziyoloji

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 2, pp.148-154

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001350369

pISSN:

2146-4006