Consensus Review of Optimal Perioperative Care in Breast Reconstruction: Enhanced Recovery after Surgery (ERAS) Society Recommendations

Plastic and Reconstructive Surgery - Tập 139 Số 5 - Trang 1056e-1071e - 2017
Claire Temple‐Oberle1,2,3, Melissa Shea‐Budgell1,2,3, Mark Tan1,2,3, John L. Semple1,2,3, Christiaan Schrag1,2,3, Marcio P. Barreto1,2,3, Phillip Blondeel1,2,3, J J Hamming1,2,3, Joseph H. Dayan1,2,3, Olle Ljungqvist1,2,3
1Belgium
2Brazil
3Canada

Tóm tắt

Background:Enhanced recovery following surgery can be achieved through the introduction of evidence-based perioperative maneuvers. This review aims to present a consensus for optimal perioperative management of patients undergoing breast reconstructive surgery and to provide evidence-based recommendations for an enhanced perioperative protocol.Methods:A systematic review of meta-analyses, randomized controlled trials, and large prospective cohorts was conducted for each protocol element. Smaller prospective cohorts and retrospective cohorts were considered only when higher level evidence was unavailable. The available literature was graded by an international panel of experts in breast reconstructive surgery and used to form consensus recommendations for each topic. Each recommendation was graded following a consensus discussion among the expert panel. Development of these recommendations was endorsed by the Enhanced Recovery after Surgery Society.Results:High-quality randomized controlled trial data in patients undergoing breast reconstruction informed some of the recommendations; however, for most items, data from lower level studies in the population of interest were considered along with extrapolated data from high-quality studies in non–breast reconstruction populations. Recommendations were developed for a total of 18 unique enhanced recovery after surgery items and are discussed in the article. Key recommendations support use of opioid-sparing perioperative medications, minimal preoperative fasting and early feeding, use of anesthetic techniques that decrease postoperative nausea and vomiting and pain, use of measures to prevent intraoperative hypothermia, and support of early mobilization after surgery.Conclusion:Based on the best available evidence for each topic, a consensus review of optimal perioperative care for patients undergoing breast reconstruction is presented.CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, V.

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Tài liệu tham khảo

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Disa, 2003, Dextran-related complications in head and neck microsurgery: Do the benefits outweigh the risks? A prospective randomized analysis., Plast Reconstr Surg, 112, 1534, 10.1097/01.PRS.0000083378.58757.54

McNicol, 2011, Single-dose intravenous paracetamol or propacetamol for prevention or treatment of postoperative pain: A systematic review and meta-analysis., Br J Anaesth, 106, 764, 10.1093/bja/aer107

Hein, 2001, Is pain prophylaxis in minor gynaecological surgery of clinical value? A double-blind placebo controlled study of paracetamol 1 g versus lornoxicam 8 mg given orally., Ambul Surg, 9, 91, 10.1016/S0966-6532(01)00078-6

Derry, 2013, Single dose oral ibuprofen plus paracetamol (acetaminophen) for acute postoperative pain., Cochrane Database Syst Rev, 6, CD010210

Hall, 2009, Single dose oral lornoxicam for acute postoperative pain in adults., Cochrane Database Syst Rev, 4, CD007441

Barden, 2009, Single dose oral ketoprofen and dexketoprofen for acute postoperative pain in adults., Cochrane Database Syst Rev, 4, CD007355

Legeby, 2005, Analgesic efficacy of diclofenac in combination with morphine and paracetamol after mastectomy and immediate breast reconstruction., Acta Anaesthesiol Scand, 49, 1360, 10.1111/j.1399-6576.2005.00811.x

Sharma, 2001, Incidence of hematoma associated with ketorolac after TRAM flap breast reconstruction., Plast Reconstr Surg, 107, 352, 10.1097/00006534-200102000-00009

Gobble, 2014, Ketorolac does not increase perioperative bleeding: A meta-analysis of randomized controlled trials., Plast Reconstr Surg, 133, 741, 10.1097/01.prs.0000438459.60474.b5

Jarupongprapa, 2013, Comparison of gastrointestinal adverse effects between cyclooxygenase-2 inhibitors and non-selective, non-steroidal anti-inflammatory drugs plus proton pump inhibitors: A systematic review and meta-analysis., J Gastroenterol, 48, 830, 10.1007/s00535-012-0717-6

Padol, 2010, Association of myocardial infarctions with COX-2 inhibition may be related to immunomodulation towards a Th1 response resulting in atheromatous plaque instability: An evidence-based interpretation., Rheumatology (Oxford), 49, 837, 10.1093/rheumatology/kep225

Seib, 2006, Preoperative gabapentin for postoperative analgesia: A meta-analysis., Can J Anaesth, 53, 461, 10.1007/BF03022618

Engelman, 2011, Efficacy and safety of perioperative pregabalin for post-operative pain: A meta-analysis of randomized-controlled trials., Acta Anaesthesiol Scand, 55, 927, 10.1111/j.1399-6576.2011.02471.x

Zhang, 2011, Efficacy of pregabalin in acute postoperative pain: A meta-analysis., Br J Anaesth, 106, 454, 10.1093/bja/aer027

Heller, 2008, Prospective, randomized, double-blind trial of local anesthetic infusion and intravenous narcotic patient-controlled anesthesia pump for pain management after free TRAM flap breast reconstruction., Plast Reconstr Surg, 122, 1010, 10.1097/PRS.0b013e3181858c09

Morrison, 2003, Reduction or elimination of postoperative pain medication after mastectomy through use of a temporarily placed local anesthetic pump vs. control group., Zentralbl Gynakol, 125, 17, 10.1055/s-2003-40364

Boehmler, 2009, Decreased narcotic use with an implantable local anesthetic catheter after deep inferior epigastric perforator flap breast reconstruction., Ann Plast Surg, 62, 618, 10.1097/SAP.0b013e31817fe61c

Zhong, 2014, Abstract 16: The analgesic efficacy of the transversus abdominis plane (TAP) block on the abdominal donor site following autologous tissue breast reconstruction: A double-blind, placebo-controlled randomized trial., Plast Reconstr Surg, 133, 25, 10.1097/01.prs.0000445029.96516.5b

Dasta, 2012, Bupivacaine liposome injectable suspension compared with bupivacaine HCl for the reduction of opioid burden in the postsurgical setting., Curr Med Res Opin, 28, 1609, 10.1185/03007995.2012.721760

Rohde, 2015, Pulsed electromagnetic fields reduce postoperative interleukin-1β, pain, and inflammation: A double-blind, placebo-controlled study in TRAM flap breast reconstruction patients., Plast Reconstr Surg, 135, 808e, 10.1097/PRS.0000000000001152

Lambert, 2016, Practice guideline recommendations on perioperative fasting: A systematic review., JPEN J Parenter Enteral Nutr, 40, 1158, 10.1177/0148607114567713

Lewis, 2001, Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: Systematic review and meta-analysis of controlled trials., BMJ, 323, 773, 10.1136/bmj.323.7316.773

Bui, 2007, Free flap reexploration: Indications, treatment, and outcomes in 1193 free flaps., Plast Reconstr Surg, 119, 2092, 10.1097/01.prs.0000260598.24376.e1

Chang, 2013, Salvage rates of compromised free flap breast reconstruction after recurrent thrombosis., Ann Plast Surg, 71, 68, 10.1097/SAP.0b013e31824680c8

Masoomi, 2014, Predictive risk factors of free flap thrombosis in breast reconstruction surgery., Microsurgery, 34, 589, 10.1002/micr.22250

Stollings, 2014, Rapid-sequence intubation: A review of the process and considerations when choosing medications., Ann Pharmacother, 48, 62, 10.1177/1060028013510488

Nahabedian, 2004, Factors associated with anastomotic failure after microvascular reconstruction of the breast., Plast Reconstr Surg, 114, 74, 10.1097/01.PRS.0000127798.69644.65

Mirzabeigi, 2012, Free flap take-back following postoperative microvascular compromise: Predicting salvage versus failure., Plast Reconstr Surg, 130, 579, 10.1097/PRS.0b013e31825dbfb7

Disa, 1999, Efficacy of conventional monitoring techniques in free tissue transfer: An 11-year experience in 750 consecutive cases., Plast Reconstr Surg, 104, 97, 10.1097/00006534-199907000-00014

Schmulder, 2011, Eight-year experience of the Cook-Swartz Doppler in free-flap operations: Microsurgical and reexploration results with regard to a wide spectrum of surgeries., Microsurgery, 31, 1, 10.1002/micr.20816

Rozen, 2010, The efficacy of postoperative monitoring: A single surgeon comparison of clinical monitoring and the implantable Doppler probe in 547 consecutive free flaps., Microsurgery, 30, 105, 10.1002/micr.20706

Whitaker, 2010, Postoperative monitoring of free flaps in autologous breast reconstruction: A multicenter comparison of 398 flaps using clinical monitoring, microdialysis, and the implantable Doppler probe., J Reconstr Microsurg, 26, 409, 10.1055/s-0030-1249607

Smit, 2010, Introduction of the implantable Doppler system did not lead to an increased salvage rate of compromised flaps: A multivariate analysis., Plast Reconstr Surg, 125, 1710, 10.1097/PRS.0b013e3181d0ace8

Um, 2014, Implantable Cook-Swartz Doppler probe versus Synovis Flow Coupler for the post-operative monitoring of free flap breast reconstruction., J Plast Reconstr Aesthet Surg, 67, 960, 10.1016/j.bjps.2014.03.034

Pelletier, 2011, Cost analysis of near-infrared spectroscopy tissue oximetry for monitoring autologous free tissue breast reconstruction., J Reconstr Microsurg, 27, 487, 10.1055/s-0031-1284234

Lin, 2011, Tissue oximetry monitoring in microsurgical breast reconstruction decreases flap loss and improves rate of flap salvage., Plast Reconstr Surg, 127, 1080, 10.1097/PRS.0b013e31820436cb

Duteille, 2013, Reduction of skin closure time without loss of healing quality: A multicenter prospective study in 100 patients comparing the use of Insorb absorbable staples with absorbable thread for dermal suture., Surg Innov, 20, 70, 10.1177/1553350612442796

Williams, 2011, Randomized trial of antimicrobial-coated sutures to prevent surgical site infection after breast cancer surgery., Surg Infect (Larchmt.), 12, 469, 10.1089/sur.2011.045

Zhang, 2011, Cosmetic outcome and surgical site infection rates of antibacterial absorbable (Polyglactin 910) suture compared to Chinese silk suture in breast cancer surgery: A randomized pilot research., Chin Med J (Engl.), 124, 719

Nipshagen, 2008, Use of 2-octyl-cyanoacrylate skin adhesive (Dermabond) for wound closure following reduction mammaplasty: A prospective, randomized intervention study., Plast Reconstr Surg, 122, 10, 10.1097/PRS.0b013e318171524b

Gennari, 2004, A prospective, randomized, controlled clinical trial of tissue adhesive (2-octylcyanoacrylate) versus standard wound closure in breast surgery., Surgery, 136, 593, 10.1016/j.surg.2004.02.015

Blondeel, 2014, Evaluation of a new skin closure device in surgical incisions associated with breast procedures., Ann Plast Surg, 73, 631, 10.1097/SAP.0b013e3182858781

Richter, 2012, A comparison of a new skin closure device and intradermal sutures in the closure of full-thickness surgical incisions., Plast Reconstr Surg, 130, 843, 10.1097/PRS.0b013e318262f237

Kerrigan, 2010, Evaluation of a new wound closure device for linear surgical incisions: 3M Steri-Strip S Surgical Skin Closure versus subcuticular closure., Plast Reconstr Surg, 125, 186, 10.1097/PRS.0b013e3181c2a492

Veiga, 2013, Dressing wear time after breast reconstruction: Study protocol for a randomized controlled trial., Trials, 14, 58, 10.1186/1745-6215-14-58

Nahabedian, 2015, Achieving ideal donor site aesthetics with autologous breast reconstruction., Gland Surg, 4, 145

Kim, 2012, A meta-analysis of human acellular dermis and submuscular tissue expander breast reconstruction., Plast Reconstr Surg, 129, 28, 10.1097/PRS.0b013e3182361fd6

Kostaras, 2014, Use of negative-pressure wound therapy in breast tissues: Evaluation of the literature., Surg Infect (Larchmt.), 15, 679, 10.1089/sur.2013.165

Henriksen, 2002, Enforced mobilization, early oral feeding, and balanced analgesia improve convalescence after colorectal surgery., Nutrition, 18, 147, 10.1016/S0899-9007(01)00748-1

Brower, 2009, Consequences of bed rest., Crit Care Med, 37, S422, 10.1097/CCM.0b013e3181b6e30a

Blom, 2013, Initial experiences of an enhanced recovery protocol in esophageal surgery., World J Surg, 37, 2372, 10.1007/s00268-013-2135-1

Jones, 2013, Randomized clinical trial on enhanced recovery versus standard care following open liver resection., Br J Surg, 100, 1015, 10.1002/bjs.9165

van Dam, 2008, Initial experience with a multimodal enhanced recovery programme in patients undergoing liver resection., Br J Surg, 95, 969, 10.1002/bjs.6227

Ramírez, 2011, Enhanced recovery in colorectal surgery: A multicentre study., BMC Surg, 11, 9, 10.1186/1471-2482-11-9

Vlug, 2012, Which fast track elements predict early recovery after colon cancer surgery?, Colorectal Dis, 14, 1001, 10.1111/j.1463-1318.2011.02854.x

Bartolo, 2012, Early rehabilitation after surgery improves functional outcome in inpatients with brain tumours., J Neurooncol, 107, 537, 10.1007/s11060-011-0772-5

Convertino, 1997, Cardiovascular consequences of bed rest: Effect on maximal oxygen uptake., Med Sci Sports Exerc, 29, 191, 10.1097/00005768-199702000-00005

Paddon-Jones, 2006, Atrophy and impaired muscle protein synthesis during prolonged inactivity and stress., J Clin Endocrinol Metab, 91, 4836, 10.1210/jc.2006-0651

Testa, 2014, Strengths of early physical rehabilitation programs in surgical breast cancer patients: Results of a randomized controlled study., Eur J Phys Rehabil Med, 50, 275

Scaffidi, 2012, Early rehabilitation reduces the onset of complications in the upper limb following breast cancer surgery., Eur J Phys Rehabil Med, 48, 601

Davidge, 2013, Processes of care in autogenous breast reconstruction with pedicled TRAM flaps: Expediting postoperative discharge in an ambulatory setting., Plast Reconstr Surg, 132, 339e, 10.1097/PRS.0b013e31829ace62

Cho, 2013, A randomised trial of nursing interventions supporting recovery of the postmastectomy patient., J Clin Nurs, 22, 919, 10.1111/j.1365-2702.2012.04100.x

Hill, 2008, Exploring women’s experiences of TRAM flap breast reconstruction after mastectomy for breast cancer., Oncol Nurs Forum, 35, 81, 10.1188/08.ONF.81-88

Holtzmann, 2005, The experiences of and the nursing care for breast cancer patients undergoing immediate breast reconstruction., Eur J Cancer Care (Engl.), 14, 310, 10.1111/j.1365-2354.2005.00578.x

Armstrong, 2014, Replacing ambulatory surgical follow-up visits with mobile app home monitoring: Modeling cost-effective scenarios., J Med Internet Res, 16, e213, 10.2196/jmir.3528

Temple-Oberle, 2012, Development of a breast reconstruction satisfaction questionnaire (BRECON-31): Principal components analysis and clinimetric properties., J Surg Oncol, 106, 799, 10.1002/jso.23114

Pusic, 2009, Development of a new patient-reported outcome measure for breast surgery: The BREAST-Q., Plast Reconstr Surg, 124, 345, 10.1097/PRS.0b013e3181aee807

Varadhan, 2010, The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: A meta-analysis of randomized controlled trials., Clin Nutr, 29, 434, 10.1016/j.clnu.2010.01.004

Ren, 2012, Enhanced Recovery After Surgery (ERAS) program attenuates stress and accelerates recovery in patients after radical resection for colorectal cancer: A prospective randomized controlled trial., World J Surg, 36, 407, 10.1007/s00268-011-1348-4

Gustafsson, 2012, Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations., Clin Nutr, 31, 783, 10.1016/j.clnu.2012.08.013

Nygren, 2012, Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations., Clin Nutr, 31, 801, 10.1016/j.clnu.2012.08.012

Dumestre, 2017, Improved recovery experience achieved for women undergoing implant-based breast reconstruction using an Enhanced Recovery After Surgery (ERAS) model., Plast Reconstr Surg, 139, 550, 10.1097/PRS.0000000000003056

Stark, 2013, Development and psychometric evaluation of a postoperative quality of recovery score: The QoR-15., Anesthesiology, 118, 1332, 10.1097/ALN.0b013e318289b84b