Evidence map›Paper›PMID 42298165›Full record

ArticleAesthetic plastic surgery2026

Regional Fascial Plane Blocks and Early Postoperative Complications in Reduction Mammaplasty: A Retrospective Cohort Study.

Handan Derebaşınlıoğlu, Onur Avcı, Murat Çelik, Mesut Dağdeviren

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Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Handan DerebaşınlıoğluDepartment of Plastic, Reconstructive and Aesthetic Surgery, Sivas Cumhuriyet University, 58070, Sivas, Turkey.
Onur AvcıDepartment of Anesthesiology and Reanimation, Sivas Cumhuriyet University, Sivas, Turkey.
Murat ÇelikDepartment of Plastic, Reconstructive and Aesthetic Surgery, Sivas Cumhuriyet University, 58070, Sivas, Turkey. mucetr@gmail.com.ORCID http://orcid.org/0000-0003-2027-7843
Mesut DağdevirenDepartment of Plastic, Reconstructive and Aesthetic Surgery, Sivas Cumhuriyet University, 58070, Sivas, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegional fascial plane blocks are widely used in breast surgery for postoperative analgesia. While analgesic benefits are established, their impact on early complications after reduction mammaplasty remains unclear.

objectiveTo evaluate the association between regional fascial plane block use and early postoperative complications following superior pedicle reduction mammaplasty.

methodsThis retrospective cohort study included 144 consecutive patients undergoing primary bilateral superior pedicle reduction mammaplasty at a single tertiary center. Patients were grouped as block (n=64) or no-block (n=80). All blocks were performed postoperatively at the end of surgery. The primary outcome was a 30-day composite complication, defined as hematoma requiring reoperation, wound dehiscence, or surgical site infection. Multivariable logistic regression assessed the independent association between block use and complications.

resultsOverall, 55 patients (38.2%) developed at least one early postoperative complication. The composite complication rate was higher in the block group than in the no-block group (46.9% vs. 31.3%); however, this difference did not reach statistical significance (p=0.060). In multivariable analysis, block use was not independently associated with complications, whereas total excision weight was the only significant predictor. Hematomas occurred only in the block group (7.8% vs. 0%, p=0.016).

conclusionsRegional fascial plane block use was not independently associated with overall postoperative morbidity after adjustment. Although hematomas were observed only in the block group, the low event rate and non-randomized design preclude causal inference. However, a relevant increase in overall complication risk cannot be ruled out; therefore, further prospective studies are needed to clarify this relationship. LEVEL OF EVIDENCE III: 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

MammaplastyNerve BlockPostoperative ComplicationsPostoperative PainAdultCohort StudiesFemaleFollow-Up StudiesHumansMiddle AgedRetrospective StudiesRisk AssessmentTreatment OutcomeHematomaPECS IIReduction mammaplastyRegional fascial plane blockSerratus anterior plane block (SAPB)Surgical complications

Identifiers

PMID42298165
PMCPMC13493401

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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.