28. Enhanced Recovery After Surgery (ERAS) Protocol Allows Safe Same-day Discharge in Expander Based and Oncoplastic Breast Reconstruction

• DOI: 10.1097/01.gox.0000934232.02430.b4
• Publication Date: 2023-04-21T14:02:19Z
• Authors: Ellen F. Niu; James C. Frageau; Hunter Rogoff; Jocellie Marquez; Brigette Cannata; Katherine E. Wang; Brittni Munn; Anastasia Bakoulis; Patricia Farrelly; Brian O’Hea; Tara L. Huston
• Keywords: Demographics; Oncoplastic Surgery; Pectoral muscle

PURPOSE: Data following Enhanced Recovery After Surgery (ERAS) with same-day discharge in breast reconstruction is limited. This study evaluates early postoperative outcomes tissue expander-immediate (TE-IBR) and oncoplastic (OBR). METHODS: A single-institution retrospective review of TE-IBR patients from 2017-2022 OBR 2014-2022. Patients were divided by procedure recovery pathway: Group 1 (TE-IBR, overnight admission), 2 ERAS), 3 (oncoplastic, 4 ERAS). subdivided implant location: 1a (pre-pectoral) 1b (sub-pectoral); 2a 2b (sub-pectoral). Demographics, comorbidities, complications, reoperations analyzed. RESULTS: 160 (Group 1: 91; 2: 69) 60 3: 8; 4: 52) included. Of the patients, 73 underwent pre-pectoral 1a: 25; 2a: 48) 87 sub-pectoral 1b: 66; 2b: 21). There no differences demographics comorbidities between Groups 2. had a higher average BMI than (37.6 vs 32.2, p <0.022). was significant difference or rates infection, hematoma, TE loss, reoperations. Notably, ERAS required hospital admission. showed any complications CONCLUSION: Our research shows that both does not increase risk for major