RISS vs SPSIP Block in Mastectomy
Official title: Comparison of Rhomboid Intercostal-Subserratus Plane Block and Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia and Dermatomal Spread After Modified Radical Mastectomy: A Randomized Double-Blind Trial
Run by Bursa Yuksek Ihtisas Training and Research Hospital · NCT07659990 · Data updated 2026-11-12
This study tests whether the rhomboid intercostal-subserratus plane (RISS) block provides better pain control after modified radical mastectomy than the serratus posterior superior intercostal plane (SPSIP) block.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | Women only |
| Enrollment | 80 (estimated) |
| Sponsor | Bursa Yuksek Ihtisas Training and Research Hospital Government |
| Locations | 1 site (Bursa, Nilüfer) |
| Status | Recruiting |
| Started | June 19, 2026 |
| Main results expected | November 2026 |
| Study ends | November 2026 |
| Registry record updated | June 24, 2026 |
| Trial ID | NCT07659990 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Female patients aged 18-75 undergoing elective unilateral modified radical mastectomy with axillary dissection under general anesthesia.
✕Probably not a fit
Patients who do not experience adequate analgesia from regional blocks or who have contraindications to the blocks may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, double-blind trial compares two ultrasound-guided regional anesthesia techniques—RISS and SPSIP—for women undergoing unilateral modified radical mastectomy with axillary dissection. The study measures postoperative opioid use, pain scores, time to first rescue analgesia, sensory spread, recovery quality, and block-related complications. Adult participants are assigned to one block type before surgery and followed postoperatively under general anesthesia. The goal is to determine which block offers superior analgesia with a favorable safety profile in this surgical population.
Why it matters
Potential benefit: If successful, the preferred block could reduce opioid needs and improve recovery after mastectomy.
How similar studies have gone: Regional fascial plane blocks have shown analgesic benefits in breast surgery, but direct head-to-head comparisons of RISS and SPSIP in this setting are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Female patients aged 18-75 years * ASA physical status I-III * Scheduled for elective unilateral modified radical mastectomy with axillary dissection under general anesthesia * Provision of written informed consent Exclusion Criteria: * Anticoagulant therapy * Bleeding diathesis * Known allergy to local anesthetics or opioids * Infection at the block application site or previous surgery in the block area * Cognitive impairment preventing NRS assessment * Pregnancy or lactation * Chronic opioid use * Severe hepatic or renal failure * Refusal to participate in the study * Technical inability to perform the block or failed block
Where it's running
-
Bursa City Hospital
Bursa, Nilüfer, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Mürsel Ekinci, MD — Bursa City Hospital
- Study coordinator: Yusuf Alan, MD
- Email: dryusufalan@gmail.com
- Phone: +905396210977
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
PECS II vs SPSIP nerve blocks for pain after mastectomy
This study tests whether two ultrasound-guided nerve blocks (PECS II and SPSIP) differ in how much opioid patients need after mastectomy.
-
Comparison of two ultrasound-guided blocks for pain after modified radical mastectomy
This trial tests whether the serratus posterior superior intercostal plane block (SPSIPB) provides better postoperative pain relief than the serratus anterior plane block (SAPB) for women undergoing modified radical mastectomy.
-
Breathing exercises to help after breast surgery
This trial tests whether practicing pranayama or pursed-lip breathing after breast surgery can reduce pain and anxiety and stabilize vital signs compared with routine care.
-
SPSIP versus ESPB nerve blocks for pain control after modified radical mastectomy
This trial tests whether the newer SPSIP nerve block reduces pain and opioid (morphine) use more than the erector spinae plane block after modified radical mastectomy.
-
Gyrotonic exercise for elders with breast cancer and Behcet disease
We’re testing whether a gyrotonic exercise program helps older people who have both Behcet disease and breast cancer.
-
Palatal Shield Technique to Reduce Pain and Improve Healing After Free Gingival Graft
This randomized trial tests whether a collagen sponge with a protective palatal shield made of flowable resin helps reduce pain and improve healing after free gingival graft harvest.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.