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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No venons augmentation | Retrospective group of patients who have not received venous augmentation during their operation. |
| |
| Venous augmentation | Retrospective group of patients who have received venous augmentation during their operation. |
| |
| ERAS protocol | Retrospective group operated according to the traditional ERAS (enhanced recovery after surgery) protocol |
| |
| Sahlgrenska recovery protocol | Prospective group operated according to the Sahlgrenska recovery protocol. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Venous augmentation | Procedure | Increasing the venous drainage of a deep inferior epigastric artery perforator (DIEP) flap by anastomosing the superficial inferior epigastric vein to the cephalic vein |
| Measure | Description | Time Frame |
|---|---|---|
| Re-operations | Any re-operations performed for any cause during the first 7 days after the operation | 7 days |
| Length of stay (LOS) in hospital | Number of days the patient stays in the hospital after the operation | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | 12 months |
| Surgical corrections |
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Inclusion Criteria:
Exclusion Criteria:
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Biological women undergoing breast reconstruction with a deep inferior epigastric artery perforator flap in Sahlgrenska university hospital.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emma Hansson, MD, PhD | Contact | 0046313421000 | emma.em.hansson@vgregion.se |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sahlgrenska university hospital | Recruiting | Gothenburg | 413 45 | Sweden |
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|
| Traditional ERAS (enhanced recovery after surgery) protocol | Procedure | Pre-, peri-, and post-operative care as described in the ERAS protocol |
|
| Sahlgrenska recovery protocol | Procedure | Pre-, peri-, and post-operative care as described in the Sahlgrenska recovery protocol |
|
| No venous augmentation | Procedure | Traditional deep inferior epigastric artery perforator flap (DIEP) |
|
Number of cosmetic corrections. All types of corrections performed in general or local anesthetics will be included. |
| 5 years |
| Costs | Health economical analysis of direct and indirect cost related to the different protocols | 5 years |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D000080482 | Enhanced Recovery After Surgery |
| D002985 | Clinical Protocols |
| ID | Term |
|---|---|
| D019990 | Perioperative Care |
| D013514 | Surgical Procedures, Operative |
| D013812 | Therapeutics |
| D016020 | Epidemiologic Study Characteristics |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
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