[Subcutaneous defibrillator implantation with ultrasound-guided serratus block using the two-incision technique: our experience]. / Impianto di defibrillatore sottocutaneo con tecnica del blocco del muscolo serrato eco-guidato a due incisioni: nostra esperienza.

BACKGROUND: The aim of this study was to report our experience with subcutaneous defibrillator (S-ICD) implantation. METHODS: At our hospital, 7 procedures of S-ICD implantation were performed; 4 of these with ultrasound-guided serratus anterior plane block (SAPB) and 3 with usual local anesthesia followed by sedation. RESULTS: Surgical operations were not burdened with peri- and postprocedural complications, with only one event of limited hematoma of the thoracic wall. Ultrasound-guided serratus anterior plane block was associated with better pain control during the procedure and the postoperative period. The disconnection between latissimus dorsi and serratus obtained by serratus anterior plane block contributed to make the creation of the pocket easier. The technique used is with two incisions. CONCLUSIONS: In our experience, S-ICD implantation with the technique of the serratus anterior plane block is safe and effective, and significantly facilitated pain control during the procedure and postoperatively.