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SPS Block vs. Surgical Intercostal Block for Chronic Pain After Thoracoscopic Surgery | Clinical Trials | Clareo Health

RECRUITINGNA

SPS Block vs. Surgical Intercostal Block for Chronic Pain After Thoracoscopic Surgery

Evaluation of Serratus Posterior Superior (SPS) Block Versus Surgical Intercostal Blockade in Preventing Chronic Post-Thoracotomy Pain After Video-Assisted Thoracoscopic Surgery (VATS): A Randomized, Prospective, Comparative Study.

NCT07436806•Medipol University

View on ClinicalTrials.gov

Summary

This study aims to evaluate the efficacy of ultrasound-guided Serratus Posterior Superior (SPS) block compared to surgeon-administered intercostal blockade in preventing chronic pain at 3, 6, and 12 months following Video-Assisted Thoracoscopic Surgery (VATS).

Detailed Description

Although VATS is a minimally invasive technique, chronic post-thoracotomy pain (CPTP) remains a significant complication due to intercostal nerve injury. This study investigates whether the preemptive analgesic effect of the SPS block, performed under ultrasound guidance before surgery, reduces the incidence and severity of chronic pain more effectively than standard surgical intercostal blocks. Secondary objectives include assessing acute pain scores (VAS/NRS) within the first 24 hours, total opioid consumption, and duration of hospital stay.

Eligibility

Age

18 - 75 years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•ASA physical status I-III.
•Scheduled for elective unilateral Video-Assisted Thoracoscopic Surgery (VATS).

Exclusion Criteria

•History of allergy to local anesthetics.
•Pre-existing chronic pain syndrome or neuropathic pain.
•Psychiatric disorders affecting pain assessment.
•Coagulation disorders.
•Previous thoracic surgery on the same side.

Locations (1)

Istanbul Medipol University Hospital

Istanbul, Bagcilar, Turkey (Türkiye)

Key Dates

Start Date

March 1, 2026

Primary Completion Date

November 20, 2026

Completion Date

December 10, 2026

Last Updated

March 10, 2026

Enrollment

ESTIMATED participants

Conditions

Chronic Post-thoracotomy PainNeuropathic PainPostoperative Pain, Acute

Interventions

SPS block

DRUG

Surgical Intercostal Blockade.

DRUG

Contacts

Bahadir Ciftci, Assoc Prof, MD

CONTACT

+905343736865 bciftci@medipol.edu.tr

Ayse Cicek

CONTACT

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: March 10, 2026Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

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SPS Block vs. Surgical Intercostal Block for Chronic Pain After Thoracoscopic Surgery

Inclusion Criteria

Exclusion Criteria

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