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 .
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 .
Reduction of Skin Closure Time Without Loss of Healing Quality
The authors report the results of a multicenter prospect i ve study evaluating a novel technology : dermal suture using absorbable staples composed of polylactic and polyglycolic acids . From January to June 2009 , 59  dermal sutures  were performed with Insorb absorbable staples and 41 with absorbable thread .  All patients in the study underwent abdominal dermolipectomy ( N = 65 ) or surgery for breast hypertrophy ( N = 35 ) . The purpose of the study was to compare the closure time and healing quality obtained with the 2 methods . Ninety-five patients were reexamined by the surgeon after 1 year of follow-up to assess scar width , suppleness , inflammation , and hypertrophy . The overall results were good and quite similar for the 2 groups . Thus , the use of Insorb staples reduced closure time while ensuring good healing quality
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 .
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 .