Evidence map›Paper›PMID 40268766›Full record

Trial reportAesthetic plastic surgery2025

The Comparison of Efficacy of Bilateral Type I Versus Type II Pectoral Nerve Block Applied with Ultrasound-Guided for Postoperative Analgesia in Gynecomastia Surgeries.

Aykut Urfalıoglu, Mehmet Bekerecioglu, Adem Doganer, Harun Karaduman, Gizem Ezgi Satıcı, Abdullah Dincgözoglu

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Aykut UrfalıogluDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Avsar Campus, 46100, Onikisubat, Kahramanmaras, Turkey. aykuturfalioglu@ksu.edu.tr.ORCID 0000-0002-0657-7578
Mehmet BekereciogluDepartment of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.ORCID 0000-0002-2422-7272
Adem DoganerDepartment of Biostatistics and Medical Informatics, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.ORCID 0000-0002-0270-9350
Harun KaradumanDepartment of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.ORCID 0000-0003-2696-7255
Gizem Ezgi SatıcıDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Avsar Campus, 46100, Onikisubat, Kahramanmaras, Turkey.ORCID 0009-0002-1943-2455
Abdullah DincgözogluDepartment of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.ORCID 0000-0002-8785-8186

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGynecomastia surgeries are frequently performed due to esthetic concerns. There is lack of data regarding postoperative pain control for these patients. The aim of this study was to compare the pectoral nerve (PECS) block type I and type II with respect to postoperative analgesic consumption, pain scores in these patients.

methodsThe prospective randomized study was conducted with 30 patients, with American Society of Anesthesiologists I-II, between the ages of 18 and 50, and undergoing bilateral gynecomastia surgery. The patients were divided into two groups: PECS I block with general anesthesia (n = 15) and PECS II block with general anesthesia (n = 15). The demographic data, hemodynamic parameters, postoperative numeric rating scale (NRS) scores (at 0, 1, 2, 6, 12, 24 h postoperative), the number of patients who needed rescue analgesia, and block-related adverse events were recorded.

resultsNRS scores at 30 min, 1 and 2 h postoperatively were similar in the two groups, whereas the scores at 6, 12 and 24 h were significantly lower in the PECS II group (p = 0.005, p = 0.007, p = 0.002, respectively). It was determined that the postoperative 24-h tramadol consumption was statistically significantly lower in the PECS II group (p = 0.005). Additional analgesic was required in two patients in the PECS I group, but none in the PECS II group.

conclusionPECS blocks could effectively reduce postoperative pain level in gynecomastia operations; however, PECS II block was superior to PECS I block in terms of both analgesic consumption and pain scores. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

AnalgesiaGynecomastiaNerve BlockPostoperative PainThoracic NervesUltrasonography, InterventionalAdolescentAdultHumansMaleMiddle AgedPain MeasurementProspective StudiesTreatment OutcomeYoung AdultGynecomastiaPectoral nerve (PECS) blockPostoperative analgesia

Identifiers

PMID40268766
PMCPMC12423207

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.