Enhanced Recovery for Breast Reconstruction Surgery
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Purpose of Review
Enhanced recovery pathways are a well-described perioperative healthcare program involving evidence-based interventions. Enhanced recovery is designed to standardize techniques such as drug selection and nerve blocks in order to speed recovery and reduce overall hospital costs.
A PubMed literature search was performed for articles that included the terms enhanced recovery and breast reconstruction surgery. The present investigation summarizes enhanced recovery literature related to breast surgery with a focus on breast reconstruction.
Enhanced recovery considerations discussed in this review include patient education, preadmission optimization, perforator flap planning, anesthetic techniques, optimized fasting, venous thrombosis prophylaxis, early mobilization, and antimicrobial prophylaxis.
KeywordsEnhanced recovery after surgery (ERAS) Surgery Breast surgery Postoperative care Preoperative care Fast track recovery
The manuscript has been read and approved by all the authors, the requirements for authorship have been met, and each author believes that the manuscript represents honest work. All authors contributed equally to the manuscript and are involved in institutional protocols and policies for enhanced recovery pathways.
Compliance with Ethical Standards
Conflict of Interest
Amir Elhassan, Ahmed Ahmed, Hamdy Awad, Michelle Humeidan, Carmen L. Labrie-Brown, and Elyse M. Cornett declare no conflict of interest. Alan D. Kaye serves on the Speakers Bureau of Depomed and Merck. Richard D. Urman received research funding from Medtronic.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: •• Of major importance
- 1.•• Temple-Oberle C, Shea-Budgell MA, Tan M, Semple JL, Schrag C, Barreto M, et al. Consensus review of optimal perioperative care in breast reconstruction: Enhanced Recovery After Surgery (ERAS) Society recommendations. Plast Reconstr Surg. 2017;139:1056e–71e. https://doi.org/10.1097/PRS.0000000000003242. Excellent review of enhanced recovery after surgery for optimal perioperative care in breast reconstruction.
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