Women who have their breast reconstructed with autologous tissue seem to be more satisfied with their breast. However, autologous breast reconstruction entails a bigger operation, and the usage of more health care resources, than some other methods, such as implant-based techniques. The main objectives of the present study are to investigate if pre- peri- and postoperative protocols can be safely modified, so the operation demands less resources, while maintaining a low complication rate and a high patient satisfaction.
Study Type
OBSERVATIONAL
Enrollment
380
Increasing the venous drainage of a deep inferior epigastric artery perforator (DIEP) flap by anastomosing the superficial inferior epigastric vein to the cephalic vein
Pre-, peri-, and post-operative care as described in the ERAS protocol
Pre-, peri-, and post-operative care as described in the Sahlgrenska recovery protocol
Traditional deep inferior epigastric artery perforator flap (DIEP)
Sahlgrenska university hospital
Gothenburg, Sweden
RECRUITINGRe-operations
Any re-operations performed for any cause during the first 7 days after the operation
Time frame: 7 days
Length of stay (LOS) in hospital
Number of days the patient stays in the hospital after the operation
Time frame: 7 days
Patient reported satisfaction and quality of life
Measured with BREAST-Q reconstruction. The patient scores different items om a scale and a sum score of 0-100 is calculated for each domain. A higher score indicates a higher satisfaction/quality of life.
Time frame: 12 months
Surgical corrections
Number of cosmetic corrections. All types of corrections performed in general or local anesthetics will be included.
Time frame: 5 years
Costs
Health economical analysis of direct and indirect cost related to the different protocols
Time frame: 5 years
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