As healthcare professionals, you can adopt the ERAS® pathway in Breast Reconstruction to improve patient outcome and safety. Now that the benefits of ERAS® have been shown internationally and across common types of breast reconstruction, team audit and feedback are the next steps towards improving perioperative care for women.1
Breast Reconstruction Protocol Offered By Encare
Encare offers a Breast Reconstruction protocol in the ERAS® interactive audit system (EIAS), based on the Breast Reconstruction guideline published by the ERAS® Society.
The protocol helps teams identify areas of non-compliance with ERAS® recommendations and to monitor reduction of complications with increasing adherence to compliance elements.
What Do Experts Say?
The ERAS protocol for alloplastic breast reconstruction is safe, without increased readmission or complication rates compared to Traditional Recovery After Surgery, and significantly decreased length of stay.2
“ERAS® principles can be applied to breast cancer patients and allow for outpatient mastectomies with no increase in postoperative morbidity.”3
“When considering reconstruction, it must be remembered that the cancer treatment comes first, including ablative surgery and any neoadjuvant or adjuvant therapies required. In early-stage breast cancer, reconstruction can often be done in the immediate setting with a low likelihood of delaying cancer therapy.”4
“However, in more advanced situations, it is best to allay the risk associated with reconstruction and proceed at a later date when a woman’s oncologic care is complete. Often multidisciplinary discussions are required to optimize the timing of reconstruction.”5
1. Oberle, C. T. and Webb, C.(2020) ERAS for Breast Reconstruction. In Ljungqvist, O., Francis, N. and Urman, R. (Eds), Enhanced Recovery After Surgery. (pp. 433-440). Springer Books. 2. Enhanced Recovery After Surgery (ERAS) Protocol Enables Safe Same-Day Discharge After Alloplastic Breast Reconstruction – Danielle O. Dumestre, Jennifer Redwood, Carmen E. Webb, Claire Temple-Oberle, 2017 3. Jogerst, K., Thomas, O., Kosiorek, H. E., Gray, R., Cronin, P., Casey, W., & Pockaj, B. (2020). Same-Day Discharge After Mastectomy: Breast Cancer Surgery in the Era of ERAS®. Annals of surgical oncology, 1-10. 4. Shea-Budgell M, Quan ML, Mehling B, Temple-Oberle C. Breast reconstruction following prophylactic or therapeutic mastectomy for breast cancer: recommendations from an evidence-based provincial guideline. Plast Surg. 2014;22(2):103–11. 5. Oberle, C. T. and Webb, C.(2020) ERAS for Breast Reconstruction. In Ljungqvist, O., Francis, N. and Urman, R. (Eds), Enhanced Recovery After Surgery. (pp. 433-440). Springer Books.