Breast Cancer, Breast Reconstruction
Conditions
Keywords
breast reconstruction, plastic surgery, microsurgery, free flap
Brief summary
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.
Interventions
PROCEDUREVenous augmentation
Increasing the venous drainage of a deep inferior epigastric artery perforator (DIEP) flap by anastomosing the superficial inferior epigastric vein to the cephalic vein
PROCEDURETraditional ERAS (enhanced recovery after surgery) protocol
Pre-, peri-, and post-operative care as described in the ERAS protocol
PROCEDURESahlgrenska recovery protocol
Pre-, peri-, and post-operative care as described in the Sahlgrenska recovery protocol
PROCEDURENo venous augmentation
Traditional deep inferior epigastric artery perforator flap (DIEP)
Sponsors
Vastra Gotaland Region
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Operated or will be operated with a DIEP flap in the department * \>18 years of age
Exclusion criteria
* Inability to leave informed consent * Inability to understand and speak Swedish (for the questionnaire)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay (LOS) in hospital | 7 days | Number of days the patient stays in the hospital after the operation |
| Re-operations | 7 days | Any re-operations performed for any cause during the first 7 days after the operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient reported satisfaction and quality of life | 12 months | 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. |
| Surgical corrections | 5 years | Number of cosmetic corrections. All types of corrections performed in general or local anesthetics will be included. |
| Costs | 5 years | Health economical analysis of direct and indirect cost related to the different protocols |
Countries
Sweden
Contacts
Primary ContactEmma Hansson, MD, PhD
Outcome results
None listed