Positive effects of the enhanced recovery after surgery (ERAS) protocol in DIEP flap breast reconstruction. The Breast

Autor: B.G.I. van Gaal, Dietmar J.O. Ulrich, Hanneke J.P. Tielemans, N. Gort, Stefan Hummelink
Rok vydání: 2021
Předmět:
Microsurgery
medicine.medical_specialty
Constipation
Mammaplasty
medicine.medical_treatment
Breast Neoplasms
Free flap
Postoperative recovery
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Postoperative Complications
All institutes and research themes of the Radboud University Medical Center
DIEP flap
medicine
Humans
ERAS
Enhanced recovery after surgery
RC254-282
Pain score
business.industry
Autologous breast reconstruction
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
General Medicine
Length of Stay
Surgery
Women's cancers Radboud Institute for Health Sciences [Radboudumc 17]
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
Female
Original Article
medicine.symptom
business
Breast reconstruction
Zdroj: The Breast Journal
Breast, 60, pp. 53-57
Breast, Vol 60, Iss, Pp 53-57 (2021)
The Breast : Official Journal of the European Society of Mastology
Breast, 60, 53-57
ISSN: 1075-122X
0960-9776
Popis: Background Enhanced recovery after surgery protocols are successfully implemented in different surgical specialties, but a specific protocol for autologous breast reconstruction is missing. The aim of this study was to determine whether an enhanced recovery after surgery (ERAS) protocol contributes to a reduced length of stay without an increase in postoperative complications for patients undergoing a DIEP flap breast reconstruction. Materials en methods The effect of the ERAS protocol was examined using a single-center patient-control study comparing two groups of patients. Patients who underwent surgery between November 2017 and November 2018 using the ERAS protocol were compared with a historical control group (pre-ERAS) who underwent surgery between November 2016 and November 2017. The primary outcome measure was hospital length of stay. Secondary outcome measures were postoperative pain and postoperative complications. Results 152 patients were included (ERAS group, n = 73; control group, n = 79). Mean hospital length of stay was significantly shorter in the ERAS group than in the control group (5 vs. 6 days, p
Highlights • An (ERAS) protocol can be used to standardize autologous breast reconstruction care. • Hospital length of stay after a DIEP flap breast reconstruction significantly decreased. • The ERAS protocol contributes an accelerated postoperative recovery after DIEP breast reconstruction . • Lower average pain scores and less adverse health issues occurred in patients who were introduced in the ERAS protocol.
Databáze: OpenAIRE
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