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Dergiler / Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi / 2026 / Volume: 13 Issue: 2

Meme Cerrahisinde Romboid İnterkostal Plan Bloğu: Güncel Kanıtlar ve Gelecek Perspektifleri: Derleme

Rhomboid Intercostal Plane Block in Breast Surgery: Current Evidence and Future Perspectives: Narrative Review

Tolga Karaçay(Şanlıurfa Eğitim ve Araştırma Hastanesi)0000-0002-2523-7093
Ahmet Pınarbaşı(Odak Hastanesi)0000-0002-0042-9312
Başak Altıparmak(Muğla Sıtkı Koçman Üniversitesi)0000-0002-8165-3438
Sayfa
52–53
Yayın Tarihi
2026-08-27
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Yapılan çalışmalar, RIB’nin özellikle yüksek volümlü lokal anestezik uygulamalarla, torakal duvarın geniş bir alanında analjezi sağlayabildiğini ve interkostobrakiyal siniri de etkileyebildiğini göstermektedir.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Romboid İnterkostal Plan Bloğu (RIB) son yıllarda onkolojik meme cerrahisi geçiren hastalarda postoperatif ağrı yönetiminde etkili ve güvenli bir rejyonel anestezi tekniği olarak ön plana çıkmaktadır.
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Temel Bulgular & Veri:Yapılan çalışmalar, RIB’nin özellikle yüksek volümlü lokal anestezik uygulamalarla, torakal duvarın geniş bir alanında analjezi sağlayabildiğini ve interkostobrakiyal siniri de etkileyebildiğini göstermektedir.
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Sonuç & Katkı:Bu narrative derlemede, literatürde RIB uygulamalarının teknik özellikleri, lokal anestezik volümleri ve klinik sonuçları incelenmiştir.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Analgesia · Breast Surgery · Chronic Pain

Özet

Romboid İnterkostal Plan Bloğu (RIB) son yıllarda onkolojik meme cerrahisi geçiren hastalarda postoperatif ağrı yönetiminde etkili ve güvenli bir rejyonel anestezi tekniği olarak ön plana çıkmaktadır. Onkolojik meme cerrahisinde postoperatif ağrı kontrolü, hem hasta konforu hem de erken mobilizasyon açısından kritik öneme sahiptir. Yapılan çalışmalar, RIB’nin özellikle yüksek volümlü lokal anestezik uygulamalarla, torakal duvarın geniş bir alanında analjezi sağlayabildiğini ve interkostobrakiyal siniri de etkileyebildiğini göstermektedir. Onkolojik meme cerrahisi sonrası RIB uygulanan hastalarda opioid gereksinimi belirgin şekilde azalmış, ağrı skorları düşmüş ve hasta memnuniyeti artmıştır. Ayrıca kateter ile sürekli infüzyon yapılan olguların, postoperatif ağrı kontrolünde etkili olduğu ve hastanede kalış süresini kısalttığı rapor edilmiştir. Minimal komplikasyon profili ve uygulanabilirliği, RIB’yi multimodal analjezi stratejilerinde önemli bir araç haline getirmektedir. Bununla birlikte, teknik varyasyonlar, optimal lokal anestezik volümleri ve uzun dönem sonuçlar hakkında sınırlı veri bulunması, ileri randomize kontrollü çalışmalara duyulan ihtiyacı göstermektedir. Bu narrative derlemede, literatürde RIB uygulamalarının teknik özellikleri, lokal anestezik volümleri ve klinik sonuçları incelenmiştir.

Abstract

Rhomboid Intercostal Plane Block (RIB) has recently emerged as an effective and safe regional anesthesia technique for postoperative pain management in patients undergoing oncologic breast surgery. Postoperative pain control in oncologic breast surgery is critically important for both patient comfort and early mobilization. Studies have shown that RIB, especially with high-volume local anesthetic applications, can provide analgesia over a broad area of the thoracic wall and can also affect the intercostobrachial nerve. In patients who received RIB after oncologic breast surgery, opioid requirements were significantly reduced, pain scores decreased, and patient satisfaction increased. Additionally, cases with continuous infusion via catheter have been reported to be effective in postoperative pain control and to shorten hospital stays. Its minimal complication profile and ease of application make RIB an important tool in multimodal analgesia strategies. However, limited data on technical variations, optimal local anesthetic volumes, and long-term outcomes highlight the need for further randomized controlled studies. This narrative review examines the technical features, local anesthetic volumes, and clinical outcomes of RIB applications in the literature.

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Bu Makaleye Atıf Yap

Karaçay, T., Pınarbaşı, A., Altıparmak, B. (2026). Meme Cerrahisinde Romboid İnterkostal Plan Bloğu: Güncel Kanıtlar ve Gelecek Perspektifleri: Derleme. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, Volume: 13 Issue: 2, 52–53. https://doi.org/10.47572/muskutd.1788154

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