Investigating Same-Day Discharge For Postmastectomy Immediate Breast Reconstruction: A National Surgical Quality Improvement Program Study

Elijah G. Bingham, BS1, Amanda Miller, BS1, Nirbhay S. Jain, MD1, Michael W. Wells, MEng2, Andrew Da Lio, MD1, Jason Roostaeian, MD1, Christopher Crisera, MD1, Ginger Slack, MD1, Charles Tseng, MD1, Michael Delong, MD1, Jaco H. Festekjian, MD1

1David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA, 2Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Introduction

• Patients undergoing immediate breast reconstruction with tissue expanders are frequently admitted postoperatively for monitoring and pain control, 

• Need for aggressive pain control has been less necessary given the increased popularity of prepectoral reconstruction and the introduction of enhanced recovery protocols. Longer hospital stays also stress hospital resources and increase risks of nosocomial infection.

• If proven safe, same-day discharge could conserve resources, mitigate risk, and return patients home for faster recovery

• We used large data sets to investigate the safety of same-day discharge after mastectomy with immediate postoperative expander placement.