gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Comparison of postoperative analgesia between general anesthesia and pectoralis minor and pectoralis major block for mastectomy in Al Sadder teaching hospital in Iraq


Author(s): Amjed Qasim Mohammed*, Mohamed Kahloul, Mohammed Abbas Kadhim, Mohammed Sadeq Karam Al-Ghanimi, Hussein Ali Hussein, Majid Fakher Alhamaidah, Haider Muhy Al bareh and Ammar Hoom Mahdi

Objective: The primary objective of this study is to assess and compare the effectiveness of postoperative analgesia in mastectomy procedures at Al-Sadder Teaching Hospital in Iraq, specifically examining the outcomes of General Anesthesia (GA) and Pectoral Nerve Blocks (PECs).

Method: The research was conducted at Al-Sadder Teaching Hospital, a specialized hospital within Missan Health hospitals in Iraq that provides care for over 1,200 patients undergoing general surgeries each month. The hospital has a dedicated area for breast cancer patients, offering analgesic treatments and mastectomy surgeries, in addition to chemotherapy and radiation therapy. Approximately six eligible patients were enrolled in the study each month.

Results: The results of the study revealed that there are statistically significant differences between the study groups in favor of PECs block in terms of decreasing post-operative pain, increasing patient’s satisfaction, decreasing post-operative complications, and decreasing the length of ICU stay and hospital stay.

Conclusion: The research conducted at Al-Sadder Teaching Hospital in Iraq has yielded significant findings about pain management techniques for breast cancer surgery by comparing the efficacy of General Anesthesia (GA) and Pectoral Nerve Block (Pecs Block) in postoperative analgesia for mastectomy procedures. In this study, an investigation was conducted to evaluate the efficacy of two distinct methodologies in mitigating postoperative pain, with the ultimate objective of improving overall patient satisfaction and surgical results.