Optimizing Postoperative Recovery After Breast Reconstruction With Autologous Tissue (BestDIEP)

Vastra Gotaland Region

Status: Enrolling

Conditions: Breast Cancer; Breast Reconstruction

Treatments: Procedure: No venous augmentation; Procedure: Venous augmentation; Procedure: Sahlgrenska recovery protocol; Procedure: Traditional ERAS (enhanced recovery after surgery) protocol

Study type: Observational

Funder types: Other

Identifiers

NCT05363189

2022-01423-01

Details and patient eligibility

About

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.

Enrollment: 380 estimated patients

Sex: Female

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

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)

Trial design

380 participants in 4 patient groups

No venons augmentation

Description:

Retrospective group of patients who have not received venous augmentation during their operation.

Treatment:

Procedure: No venous augmentation

Venous augmentation

Description:

Retrospective group of patients who have received venous augmentation during their operation.

Treatment:

Procedure: Venous augmentation

ERAS protocol

Description:

Retrospective group operated according to the traditional ERAS (enhanced recovery after surgery) protocol

Treatment:

Procedure: Traditional ERAS (enhanced recovery after surgery) protocol

Sahlgrenska recovery protocol

Description:

Prospective group operated according to the Sahlgrenska recovery protocol.

Treatment:

Procedure: Sahlgrenska recovery protocol