Costotransverse foramen block versus erector spinae plane block for pain control in modified radical mastectomy

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional comparison gives one of two ultrasound-guided regional nerve blocks (costotransverse foramen block or erector spinae plane block) to women undergoing modified radical mastectomy to manage postoperative pain. Participants receive the allocated block along with standardized perioperative anesthesia and analgesia. Primary outcomes include postoperative pain scores and opioid consumption, with monitoring for block-related complications in the immediate and early postoperative period. The goal is to determine whether one technique leads to lower pain and analgesic requirements than the other.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Adult females \> 18 years and ≤ 65 years old.
* American Society of Anesthesiologists (ASA) physical status П-III.
* Body mass index (BMI) 18-35 kg/m2.
* Scheduled for modified radical mastectomy.

Exclusion Criteria:

* Known allergy or hypersensitivity to local anesthetic agents.
* Active infection at the injection site (e.g., cellulitis, abscess).
* Coagulopathy or ongoing anticoagulant/antiplatelet therapy \[International Normalized Ratio (INR) \> 1.5 or platelet count \< 100,000/µL\].
* Severe respiratory, cardiac, hepatic, or renal disease.
* Morbid obesity.
* Severe cognitive impairment or uncooperative behavior that could interfere with block placement.

Where it's running

• Cairo University
  Cairo, Egypt Recruiting

Study contacts

• Study coordinator: Mai M Elrawas, MD
• Email: mai.elrawas@nci.cu.edu.eg
• Phone: 00201222177242

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.