In the Journals

Enhanced recovery protocol for alloplastic breast reconstruction may be safe

An enhanced recovery protocol was associated with improved patient satisfaction and length of hospital stay among women undergoing alloplastic breast reconstruction. 

The researchers analyzed length of hospital stay for 29 patients, ED visits of 11 patients and enhanced recovery for 29 patients. Baseline data for age, parameters of cancer risk, surgery type and immediate vs. delayed reconstruction were similar across the cohorts.

Both the traditional recovery and transition recovery groups experienced an average length of hospital stay of 1.6 nights. The average hospital stay for the enhanced recovery group, by comparison, was zero nights (P < .001).

Patients in the enhanced recovery group also experienced improvements in a number of measures, including severe pain (P = .02), nausea (P = .01), enjoyment of food (P = .0002) and a feeling of being rested (P = .02) compared with patients in the transition recovery group.

All three groups experienced similar rates of ED visits. Rates of hematoma were also similar, as were rates of infection requiring IV antibiotics or infection requiring explantation. – by Rob Volansky

 

Disclosure: One researcher reports receiving advisory board honorarium from Allergan and unrestricted education funds from Allergan and Acelity.

An enhanced recovery protocol was associated with improved patient satisfaction and length of hospital stay among women undergoing alloplastic breast reconstruction. 

The researchers analyzed length of hospital stay for 29 patients, ED visits of 11 patients and enhanced recovery for 29 patients. Baseline data for age, parameters of cancer risk, surgery type and immediate vs. delayed reconstruction were similar across the cohorts.

Both the traditional recovery and transition recovery groups experienced an average length of hospital stay of 1.6 nights. The average hospital stay for the enhanced recovery group, by comparison, was zero nights (P < .001).

Patients in the enhanced recovery group also experienced improvements in a number of measures, including severe pain (P = .02), nausea (P = .01), enjoyment of food (P = .0002) and a feeling of being rested (P = .02) compared with patients in the transition recovery group.

All three groups experienced similar rates of ED visits. Rates of hematoma were also similar, as were rates of infection requiring IV antibiotics or infection requiring explantation. – by Rob Volansky

 

Disclosure: One researcher reports receiving advisory board honorarium from Allergan and unrestricted education funds from Allergan and Acelity.