Clinical trial Recruiting at 1 site Interventional Ages 18 to 75 Women only

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 typeInterventional
Ages18 Years to 75 Years
SexWomen only
Enrollment80 (estimated)
SponsorBursa Yuksek Ihtisas Training and Research Hospital
Government
Locations1 site (Bursa, Nilüfer)
StatusRecruiting
StartedJune 19, 2026
Main results expectedNovember 2026
Study endsNovember 2026
Registry record updatedJune 24, 2026
Trial IDNCT07659990 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

Similar studies

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

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.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.