Breast Cancer
Conditions
Keywords
Intraoperative Pathway, Breast Reconstruction, DIEP flap
Brief summary
Efficiency in the operating room can be difficult in long cases with multiple surgeons. We used a team based approach to develop an intraoperative pathway for microsurgical breast reconstruction with a deep inferior epigastric perforator flap.
Detailed description
A team based approach was developed with an intraoperative pathway for microsurgical breast reconstruction with a deep inferior epigastric perforator flap.
Interventions
OTHERpathway
Comparison of pre and post pathway
Sponsors
Beth Israel Deaconess Medical Center
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
* All cases prior to pathway
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative Time | 3 years | Length of Time in surgery |
Countries
United States
Participant flow
Recruitment details
2006-2008. Operating room records
Participants by arm
| Arm | Count |
|---|---|
| Pre Pathway Patients prior to pathway implementation | 100 |
| Post Pathway Patients after pathway implementation | 50 |
| Total | 150 |
Baseline characteristics
| Characteristic | Pre Pathway | Post Pathway | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 100 Participants | 50 Participants | 150 Participants |
| Sex/Gender, Customized Female | 100 paticipants | 50 paticipants | 150 paticipants |
| Sex/Gender, Customized Male | 0 paticipants | 0 paticipants | 0 paticipants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 100 | 0 / 50 |
| serious Total, serious adverse events | 0 / 100 | 0 / 50 |
Outcome results
Primary
Operative Time
Length of Time in surgery
Time frame: 3 years
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Pre Pathway | Operative Time | 8.2 hours |
| Post Pathway | Operative Time | 6.9 hours |