title: Ultrasound-Guided Serratus Anterior Plane Block in Breast Reconstruction Surgery.
abstract: Pecs block and its variations have been used for various breast surgeries. We describe 2 cases of mastectomy and breast reconstruction by latissimus dorsi (LD) flap where regional analgesia was provided by a combination of ultrasound-guided Pecs-I block and serratus anterior plane block, a recently described technique in which local anesthetic is deposited in the plane between the LD and serratus anterior muscle. This resulted in excellent intraoperative and postoperative analgesia and a minimum of systemic analgesics. The described technique is safe to administer and provides good analgesia for breast reconstruction surgery by LD flap.
authors.affiliation: From the Tata Medical Center, Newtown, Kolkata, West Bengal, India.
authors.forename: Rakhi
authors.initials: R
authors.lastname: Khemka
authors.forename: Arunangshu
authors.initials: A
authors.lastname: Chakraborty
authors.forename: Rosina
authors.initials: R
authors.lastname: Ahmed
authors.forename: Taniya
authors.initials: T
authors.lastname: Datta
authors.forename: Sanjit
authors.initials: S
authors.lastname: Agarwal
mesh_terms: D005260:Female; D006801:Humans; D064169:Intermediate Back Muscles / Q000000981:diagnostic imaging*; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000379:methods*