Enhanced Recovery After Surgery in Immediate DIEP Flap Breast Reconstruction: Reducing Length of Stay and Opioid Use.

Publication date: Aug 01, 2025

Background: To improve patient outcomes amid reduced healthcare resources during the COVID-19 pandemic, a single Canadian cancer center implemented an Enhanced Recovery After Surgery (ERAS) protocol for autologous DIEP flap breast reconstruction. Methods: This retrospective cohort study included 100 consecutive patients undergoing microsurgical breast reconstruction with DIEP flaps using the ERAS protocol and 100 patients using a standard protocol. Primary outcomes were the hospital length of stay and opioid use. Secondary outcomes included postoperative complications, laxative and antiemetic consumption. Results: In this study, 80% of the patients had immediate reconstruction, while the remaining patients received either delayed immediate or delayed reconstruction. Patients in the ERAS group had shorter hospital stays (2. 8 vs 4. 5 days; P 

Open Access PDF

Concepts Keywords
Canadian AIEP
Pandemic breast reconstruction
Retrospective DIEP
Surgery ERAS protocol
length of stay
microchirurgie
microsurgery
opioïdes
opioids
protocole ERAS
reconstruction mammaire

Semantics

Type Source Name
disease MESH COVID-19 pandemic
disease MESH cancer
disease MESH postoperative complications

Original Article

(Visited 3 times, 1 visits today)