ISSN: 2167-0870
Department of General Surgery, Middlemore Hospital, Auckland, New Zealand
Research Article
The Southern Cross Block Technique for Intraoperative Mastectomy Analgesia
Author(s): Summer Hassan*, Claudia Paterson, Rana Alsadat and Garth Poole
Purpose: Mastectomy is a life-altering physical and psychological event for patients. Suboptimal management of immediate
postoperative pain increases the risk of post-mastectomy pain syndrome. PECs II block is a regional analgesic technique
expected to anesthetize the lateral chest wall. We propose an intraoperative surgeon-delivered modification to the PECs II
block to improve the quality of recovery.
Objective: To develop a reproducible, efficient, safe intraoperative field block, and to assess its efficacy by pain scores and
opiate consumption.
Patients and methods: The SCB was performed on 96 consecutive patients undergoing mastectomy by a single surgeon
from 2020 to 2021. The block consisted of 40 ml of bupivacaine given under direct vision to five areas: pectoralis major, the
interjectorily groo.. View More»