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 .
Interactive Digital Education Aid in Breast Reconstruction  
Background : An interactive digital education aid for breast reconstruction patients was developed because of a perceived need to provide patients with more education regarding the treatment so that they can make better informed treatment decisions . A prospect i ve r and omized study was conducted to assess its effectiveness . Methods : Breast cancer patients who were c and i date s for breast reconstruction were recruited and r and omized into a control group and a study group . Both groups received routine assessment and education in the plastic surgery clinic , but the study group also watched the interactive digital education aid .  Question naires assessing knowledge , anxiety , and satisfaction were administered ( 1 ) before the initial plastic surgery consultation , ( 2 ) immediately before surgery , and ( 3 ) 1 month after surgery . Results : A total of 133 women participated , 66 in the control group and 67 in the study group . Women in both groups showed decreased anxiety , increased knowledge , and enhanced satisfaction with their decision-making ability associated with preoperative instructions about reconstructive surgery . However , the study group was significantly more satisfied than the control group with the method of receiving information and showed a less steep learning curve regarding the different techniques of breast reconstruction . They also tended to have a reduced mean level of anxiety and increased satisfaction with the treatment choice compared with the control group . Conclusions : An interactive digital education aid is a beneficial educational adjunct for patients contemplating breast reconstruction . Patients who use an interactive digital education aid demonstrate greater factual knowledge , reduced anxiety , and increased postoperative satisfaction compared with patients given preoperative instructions using st and ard methods alone . The benefit of an interactive digital education aid is expected to be higher in a broad-based practice setting outside of a comprehensive cancer center
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 .