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Analgesic Strategies After Mastectomy: RIB vs RIB + DPIPB

A Retrospective Evaluation of Systemic Analgesia, Rhomboid Intercostal Block, and Combined Rhomboid Intercostal Block With Deep Parasternal Intercostal Plane Block After Mastectomy

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07401602
Enrollment
66
Registered
2026-02-10
Start date
2026-02-10
Completion date
2026-03-20
Last updated
2026-02-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative Pain

Brief summary

This retrospective observational study evaluates postoperative pain outcomes in patients undergoing elective mastectomy who received systemic analgesia, rhomboid intercostal block (RIB), or combined rhomboid intercostal block with deep parasternal intercostal plane block (RIB + DPIPB). Medical records from October 2024 to October 2025 will be reviewed. Primary outcomes include pain scores within the first 24 hours, with secondary outcomes including opioid consumption, additional analgesic requirements, patient satisfaction, and early postoperative complications. All data will be analyzed retrospectively and anonymously.

Interventions

OTHERAnalgesic Strategy

Systemic Analgesia: Postoperative pain was managed using standard systemic analgesic medications as part of routine clinical care. Rhomboid Intercostal Block (RIB): Postoperative analgesia was provided using an ultrasound-guided rhomboid intercostal block performed as part of routine clinical practice. RIB + Deep Parasternal Intercostal Plane Block (DPIPB): Postoperative analgesia was provided using a combination of ultrasound-guided rhomboid intercostal block and deep parasternal intercostal plane block as part of routine clinical care.

Sponsors

Istinye University
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Female patients aged 18-70 years * Elective mastectomy performed between October 2024 and October 2025 * ASA physical status I-III * Complete postoperative pain and analgesia records for the first 24 hours * Clearly documented analgesic technique (systemic analgesia, RIB, or RIB + DPIPB)

Exclusion criteria

* Incomplete or missing medical records * Emergency mastectomy or emergency surgery * Reoperation within the first 24 hours postoperatively * Major intraoperative complications preventing standard analgesia * Neurological or psychiatric conditions interfering with pain assessment

Design outcomes

Primary

MeasureTime frameDescription
Postoperative Pain Score (VAS)Within the first 24 hours after surgery (postoperative 1, 6, 12, and 24 hours).Postoperative pain intensity assessed using the Visual Analog Scale (VAS) based on routinely recorded clinical data.

Countries

Turkey (Türkiye)

Contacts

CONTACTIlke Dolgun
ilkeser2004@gmail.com+905555485632

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026