Improving the Patient Experience in Breast Reconstruction: ERAS and Beyond

Area of Science:

• Plastic Surgery
• Surgical Oncology
• Patient Recovery Science

Background:

• Breast reconstruction significantly enhances psychosocial wellbeing and quality of life post-mastectomy.
• Enhanced Recovery After Surgery (ERAS) protocols optimize recovery, reducing complications, pain, opioid use, and hospital stay.
• ERAS protocols tailored for breast reconstruction are crucial for improving patient outcomes and satisfaction.

Purpose of the Study:

• To review current ERAS protocols and evidence for breast reconstruction.
• To propose a modern ERAS framework prioritizing the patient experience.
• To highlight innovations in breast reconstruction recovery.

Main Methods:

• A focused literature search was conducted.
• Identified studies investigated emerging patient care approaches and surgical techniques within ERAS workflows.

Main Results:

• Innovations include digital ERAS tracking, robot-assisted surgery, neurotization, and closed incision negative pressure therapy (ciNPT).
• These advancements show potential in reducing morbidity and improving sensory/functional outcomes.
• A shift towards holistic, patient-centered care is evident, addressing long-term wellbeing and incorporating patient-reported outcome measures.

Conclusions:

• Standardizing ERAS protocols through evidence-based practices is essential.
• Breast reconstruction should be viewed as a patient-centered, evidence-driven process.
• Focusing on comprehensive recovery and improved quality of life is paramount.